[A case of giant fibrovascular polyp of the esophagus: MR findings].

Takaaki Kanamoto, Mitsuru Matsuki, Hiroyuki Kani, Masato Tanikake, Isamu Narabayashi, Yutaro Egashira, Yuro Shibayama
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Abstract

We report a case of giant fibrovascular polyp of the esophagus. The patient was a 69-year-old man who complained of hematemesis. Barium swallowing revealed a long, expansile lesion within the esophagus. Endoscopy demonstrated a pedunculated lesion covered with normal esophageal epithelium. On MRI, the sagittal image showed the characteristic sausage-like shape of the lesion. On T2-weighted images, the lesion demonstrated predominantly low signal intensity, which reflected a fibrous tumor. Opposed-phase imaging showed the area of decreased intensity within the mass, which reflected adipose tissue. MRI was useful for the differential diagnosis of fibrovascular polyp.

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食管巨大纤维血管息肉1例:MR表现。
我们报告一例巨大的食道纤维血管息肉。患者为69岁男性,主诉呕血。钡餐显示食管内有一长而扩张的病变。内窥镜显示一个带蒂的病变,覆盖着正常的食管上皮。MRI矢状面显示病变呈香肠状。在t2加权图像上,病变主要表现为低信号强度,反映了纤维性肿瘤。对相成像显示肿块内强度降低的区域,反映了脂肪组织。MRI对纤维血管息肉的鉴别诊断有重要意义。
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