Barbier P A, Luder P J, Wagner H E, Becker C D, Scheurer U, Ruchti C
Z Gastroenterol. 1987 Feb;25(2):93-7.
Verrucous carcinoma of the esophagus is a rare variant of squamous cell carcinoma with a slow, non-invasive growth without formation of metastases. Until today, only 8 cases of verrucous carcinoma of the esophagus have been reported in the literature. All of these tumours showed infiltration of adjacent mediastinal structures or even lymph node metastases. In therefore seems doubtful, wether these tumours were really verrucous carcinomas rather than squamous cell carcinomas of the papillary type. Several authors have questioned the malignant nature of these tumors recently. We report a case of a verrucous lesion of the esophagus the course of which we were able to observe over a period of several years. Transhiatal esophagectomy without thoracotomy is recommended as treatment of choice for verrucous tumours of the esophagus.
食管疣状癌是鳞状细胞癌的一种罕见变体，生长缓慢，无侵袭性，不发生转移。迄今为止，文献中仅报道了8例食管疣状癌。所有这些肿瘤均显示出对邻近纵隔结构的浸润，甚至有淋巴结转移。因此，这些肿瘤是否真的是疣状癌而非乳头型鳞状细胞癌似乎值得怀疑。最近有几位作者对这些肿瘤的恶性性质提出了质疑。我们报告了一例食管疣状病变，其病程我们观察了数年。对于食管疣状肿瘤，建议采用经裂孔食管切除术而非开胸手术作为首选治疗方法。
