Soota Kaartik, Tirumanisetty Pratyusha, Lee Ye Jin, Holm Adrian
Gastroenterology, University of Iowa Foundation, Iowa City, Iowa, USA.
Internal Medicine, Unity Hospital, Greece, New York, USA.
BMJ Case Rep. 2019 Jun 21;12(6):e229576. doi: 10.1136/bcr-2019-229576.
A 65-year-old male patient with chronic dysphagia was found to have a 2 cm mass at gastro-oesophageal junction on endoscopy. Biopsy showed squamous hyperplasia without malignancy. Controlled radial expansion balloon dilatation and partial resection were performed but the symptoms recurred. He finally underwent endoscopic mucosa resection and histology showed well-differentiated verruciform squamous proliferation limited to the mucosa. Small amounts of tumour remnants were treated during subsequent follow-up endoscopies and the patient has been tumour free since then. Diagnosis of oesophageal verrucous carcinoma can be challenging and could be managed with endoscopic resection. In this report, we review the literature and present our experience with a patient with oesophageal verrucous carcinoma.
一名65岁男性慢性吞咽困难患者在内镜检查中发现胃食管交界处有一个2厘米的肿块。活检显示为鳞状上皮增生，无恶性病变。进行了可控径向扩张球囊扩张术和部分切除术，但症状复发。他最终接受了内镜黏膜切除术，组织学检查显示为高分化疣状鳞状增生，局限于黏膜层。在随后的随访内镜检查中对少量肿瘤残余进行了处理，此后患者一直无肿瘤。食管疣状癌的诊断可能具有挑战性，可通过内镜切除术进行治疗。在本报告中，我们回顾了文献并介绍了我们对一名食管疣状癌患者的治疗经验。
