Bosch O, González Campos C, Jurado A, Guijo I, Miro C, Renedo G, Porres J C
Department of Gastroenterology, Universidad Autónoma de Madrid, Spain.
Dig Dis Sci. 1994 Dec;39(12):2561-6. doi: 10.1007/BF02087691.
We present the case of a 60-year-old male patient, who had several episodes of melena during the last years. One month ago he had a new episode of digestive bleeding, and an endoscopic study was performed that showed at 35 cm from the dental arcade a polypoid, pedunculated lesion, with a diameter of 5 cm and a submucosal aspect, a few erosions on its surface and a fibrin deposit. Its head reached the cardia, and it bled when touched by the endoscope. The biopsies taken were negative. X-ray and CT studies confirmed the existence of a mass compatible with a submucosal lesion. The patient was operated and the tumor was excised. The histologic study showed an inflammatory fibroid polyp, an entity very rarely described at the level of the stomach, duodenum, small intestine, and colon and exceptionally described at the esophageal level.
我们报告一例60岁男性患者，在过去几年中有多次黑便发作。一个月前，他出现了一次新的消化道出血，随后进行了内镜检查，结果显示在距齿状线35厘米处有一个息肉样、带蒂病变，直径为5厘米，呈黏膜下外观，表面有一些糜烂和纤维蛋白沉积。其头部到达贲门，在内镜触碰时出血。所取活检结果为阴性。X线和CT检查证实存在一个与黏膜下病变相符的肿块。患者接受了手术，肿瘤被切除。组织学研究显示为炎性纤维性息肉，这是一种在胃、十二指肠、小肠和结肠水平很少被描述的实体，在食管水平更是罕见报道。
