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Benign Oesophageal Tumours (Epidemiology (Papillomas, Fibrovascular polyps…
Benign Oesophageal Tumours
Epidemiology
Papillomas
Fibrovascular polyps
Leiomyomas are most common
Haemangiomas
Account for 1% of all oesophageal tumours
Lipomas
Pathophysiology
They are intact, well encapsulated and are within the overlying mucosa
Slow growing
Leimyomas are smooth muscle tumours raising from the oesophageal wall
Clinical Features
Retrosternal pain
Food regurgitation
Dysphagia
Recurrent chest infections
Usually asymptomatic, found incidentally on barium swallow
Diagnosis
Barium swallow
Biopsy to rule out malignancy
Endoscopy
Treatment
Endoscopic removal
Surgical removal of larger tumours