A giant pedunculated tumor (Fibrolipoma) of oesophagus - a rare case.

A giant pedunculate tumour of oesophagus is reported in this study for its rareness.A mate patient aged 48 years was admitted at Jorhat Christian Medical Centre with the complaint of swelling of the neck and dysphagia for a period of 4 months. Clinically the neck swelling looks like swelling of left lobe of thyroid with intrathoracic extension, ENT examination was normal The barium Swallow X-ray of oesophagus showed surprisingly huge dilatation of upper half of the oesophagus. The oesophagoscopy snowed a large mobile infra oesophageal tumour extending from the upper end of the oesophagus upto the mid thoracic region. The neck is explored by collar incission and the cervical oesophagus is opened by longitudinal incission. The tumour is pulled out from the oesophagus and is removed completely by cutting the peduncle which was attached to the tight wall of the oesophagus just below the cricopharynx. The peduncle was about I em in diameter., The length of the tumour was about 3-4 cm at the thoracic part. Post Operative recovery was uneventful. The histopathology report skewed it to be a ease of FIBROLIPOMA.