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Rare Hypopharyngeal Polyp Presenting Without Dysphagia: A Case Report
Tiffany Win1, Komal Hombal1, Melissa Mortensen-Welch2
1Albany Medical College, Albany, New York, USA.
The Laryngoscope
|March 10, 2025
Summary
This case report details a rare, asymptomatic fibrovascular polyp (FVP) of the hypopharynx found incidentally. Early identification and surgical excision are key for managing these benign tumors.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Pathology
Background:
- Fibrovascular polyps (FVPs) are rare benign tumors.
- Hypopharyngeal FVPs are exceptionally uncommon.
Observation:
- A 72-year-old male presented with ear pain, leading to incidental discovery of a hypopharyngeal FVP during laryngoscopy.
- The patient was asymptomatic for dysphagia, voice changes, dyspnea, or globus sensation.
- Imaging confirmed a small, solid polyp attached to the hypopharynx.
Findings:
- The hypopharyngeal FVP measured 1.2 × 1.3 × 1.4 cm.
- Endoscopic excision with partial pharyngectomy was successful.
- Biopsy confirmed a benign polyp with squamous mucosa and stromal degeneration.
Implications:
- This case highlights that hypopharyngeal FVPs can be asymptomatic and incidentally found.
- It underscores the importance of considering FVPs in the differential diagnosis, even without typical symptoms.
- Multimodal imaging and careful surgical management are crucial for curative outcomes.
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