A rare case of Esophageal fibroma: A case report

Abstract

Benign tumors of the esophagus are rare, with fibrovascular polyps being an uncommon intraluminal type that can lead to symptoms such as dysphagia, odynophagia, and airway obstruction. We report a case of esophageal fibroma in a 51-year-old male with a three-year history of neck swelling and painful swallowing. Imaging revealed a 5.7 × 4.5 cm intraluminal mass in the upper esophagus with tracheal deviation. Rigid esophagoscopy was attempted but led to significant bleeding, prompting surgical intervention. A left cervicotomy and esophagotomy allowed for complete excision of the lobulated tumor. Histopathology confirmed a solitary fibrous tumor. The patient recovered without complications. This case underscores the importance of recognizing fibrous tumors as a potential diagnosis in esophageal masses and supports surgical excision for large, vascular lesions to prevent severe complications