Fibrovascular polyps are rare, usually pedunculated benign tumors. They are often
asymptomatic, however when the esophageal lumen becomes obstructed, dysphagia, odynophagia,
dyspnea, nausea, and retrosternal pain may occur.
We report on an 80-year-old female patient who presented with odynophagia persisting
for 2 months and dyspnea secondary to exertion. Clinical and radiological examination
revealed a polyp originating from the left soft palate and extending dorsocaudally
into the esophagus, with a total length of 11.5 cm. Complete enoral endoscopic resection
followed. Histology confirmed the diagnosis.
Endoscopic resection is an effective therapy for fibrovascular giant polyps. However,
some locations may require an open approach, with increased morbidity and risk of
complications.
