Polyps of the Digestive Pharynx
POLYPS of the oro- and hypopharynx are of rare occurrence. Only four cases under this classification have been reported since 1920. However, in 1942 Samson and Zelman1 reviewed the literature and found 25 reports of cases of “pedunculated tumors of the esophagus;” to these they added one of their own. In 15 of the 19 cases in which the area of attachment of the pedicle of the tumor was recorded in their report, it was at or above the level of the cricoid cartilage which anatomically makes them lesions of the hypopharynx. These 15, in addition to the four reported since 1920, bring the total number of recorded cases of polyps of the digestive pharynx to 19. An additional case will be reported here.
A 48 year old white man was first seen at the Cleveland Clinic on August 23, 1951, with a one year history of a lump in the left side of the throat which caused him to have a constant desire to clear his throat. Occasionally, he had been able to bring the mass up into his mouth where it would protrude beyond his lips. On two occasions he had choked on the lump and had difficulty in getting his breath for a short period.
Examination, with the mass regurgitated into the mouth, revealed a slender pedunculated tumor apparently arising from the left pyriform sinus (fig. 1). After the patient re-swallowed the mass, it could not be visualized by mirror laryngoscopy.
On September 7, 1951, . . .