Benign pedunculated tumor of the esophagus

Benign pedunculated tumors of the esophagus are rare, even large tumors often remain asymptomatic. Recent experiences with two patients are described, who only complained of recurrent appearance of the tumor in their mouth. In barium studies the esophageal dilatation can incorrectly suggest achalasia or cardiospasm, whereas the tumor itself is overlooked. Even at endoscopy the tumor can be missed, as it is covered with normal epithelium. Histology of a biopsy often shows no abnormalities. Once the diagnosis is made, resection is strictly indicated, especially to prevent acute laryngeal obstruction. In one patient surgical removal was performed via cervical esophagotomy, in the second by endoscopy.