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Case Reports in Otolaryngology
Volume 2012, Article ID 406167, 3 pages
Case Report

Giant Fibrolipoma of the Esophagus

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic Hospital, Phoenix, AZ 85054, USA

Received 8 November 2011; Accepted 11 December 2011

Academic Editors: A. Kakigi, A. Taş, and L.-F. Wang

Copyright © 2012 Ryan L. Kau et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.