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Pathology of Inflammatory

Fibroid Polyp of the Esophagus

 

Dr Sampurna Roy MD

 

 

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Inflammatory fibroid polyp of the esophagus is rare.

In the GI tract the commonest site of the lesion is stomach.

Clinical presentation:  The patient presents with dysphagia, hemorrhage or gastro-esophageal reflux symptoms.

Laryngeal impaction may cause death due to asphyxia.

Site:  Located in the mid or distal third of the esophagus.  Usually submucosal, solitary lesion which grows intraluminally.

Gross:  Polypoid mass  which involves the full thickness of the esophagus.

The lesion may infiltrate into the surrounding tissue.

It should not be mistaken for a malignant tumour.

Microscopic feature:  

Characterized by fibrous stroma with prominent blood vessels and predominantly an eosinophilic inflammatory infiltrate.

Variable numbers of mononuclear cells, plasma cells, mast cells and neutrophils are present.

There is some stromal edema. Overlying epithelium is  ulcerated in some cases.

Differential diagnosis:

i) Leiomyoma (consists of neoplastic smooth muscle fibres)

ii) Fibrovascular polyp of the esophagus (mature fibrous tissue, thin walled blood vessels, adipocytes often present).      

 

Inflammatory Fibroid Polyp of the GI Tract: 

                       

 

 

Further reading:

Inflammatory fibroid polyp of the oesophagus.

Inflammatory fibroid polyps of the gastrointestinal tract: clinical, pathologic, and molecular characteristics.

Recurrent inflammatory fibroid polyp of cardia: a case report.

Rare case of inflammatory fibrous polyp of the esophagus.

Inflammatory fibroid polyp of the esophagus.

Inflammatory fibroid polyp of the esophagus in an HIV-infected individual: case study.

Esophageal inflammatory fibroid polyp. Endoscopic and radiologic features.

Inflammatory fibroid polyps of the gastrointestinal tract. An immunohistochemical and electron microscopic study.

Inflammatory pseudotumors (Inflammatory fibrous polyps) of the oesophagus: a clinicopathologic study.

 

 

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Esophageal Pathology- Home Page  

 

 

 

Dr Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)


 

 

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