Giant Fibrolipoma of the Esophagus

Abstract EN

Benign tumors of the esophagus are uncommon, representing <0.5% of esophageal tumors.

Fibrolipomas are a subset of benign fibrovascular tumors, which present with dysphagia, odynophagia, and substernal fullness.

These intraluminal tumors can become elongated and molded into a long pedunculated polyp by constant peristaltic movements.

They can cause esophageal obstruction if large and long enough and can cause asphyxiation if they become lodged into the glottis.

A barium swallow is the main diagnostic tool; treatment is surgical via a transoral, transcervical, or transthoracic approach.

We report the excision of a large esophageal fibrolipoma through a transoral laser microsurgical approach.