Fraga E, Almeida J, Camacho C, Simões J, Bernardes A
General Surgery Department, Coimbra Hospital and University Center, Coimbra, Portugal; Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
General Surgery Department, Coimbra Hospital and University Center, Coimbra, Portugal.
Int J Surg Case Rep. 2020;71:335-337. doi: 10.1016/j.ijscr.2020.02.057. Epub 2020 Feb 29.
Squamous Papilloma is a rare benign tumor of the esophagus. Esophageal squamous papilloma is thought to arise from a chronic inflammatory reaction due to mechanical or chemical irritant. ESP is usually considered to have a benign clinical course; however, some reports highlight the potential development of a malignancy. The development of extensive esophageal squamous papillomas also known as squamous papillomatosis of the esophagus is even less frequent.
We present the case of an esophageal papillomatosis that developed into an invasive esophageal squamous cell carcinoma that was only diagnosed in the surgical specimen after minimally invasive Ivor-Lewis esophagectomy and in this case report, we discuss its etiology, diagnosis and treatment.
Extensive papillomatosis with continuous symptoms, especially persistent dysphagia, should always prompt a thorough analysis into a possible underlying malignancy.
鳞状乳头瘤是一种罕见的食管良性肿瘤。食管鳞状乳头瘤被认为是由机械性或化学性刺激物引起的慢性炎症反应所致。食管鳞状乳头瘤通常被认为具有良性临床病程；然而，一些报告强调了其发生恶性病变的可能性。广泛的食管鳞状乳头瘤（也称为食管鳞状乳头瘤病）的发生更为罕见。
我们报告一例食管乳头瘤病发展为浸润性食管鳞状细胞癌的病例，该病例仅在微创Ivor-Lewis食管切除术后的手术标本中被诊断出来，在本病例报告中，我们讨论了其病因、诊断和治疗。
伴有持续症状，尤其是持续性吞咽困难的广泛乳头瘤病，应始终促使对可能的潜在恶性肿瘤进行全面分析。
