Papillomatosis of the esophagus. a clinical case
Dubarry, J.J.; Richir, C.; Bernard, J.P.; Lacoste, G.; Faivre, J.; Bretelle, J.
Archives Francaises des Maladies de l'Appareil Digestif 56(7): 713-720
1967
ISSN/ISBN: 0003-9772 PMID: 4979835 Document Number: 5587
After a 15 year interval, a 62-year-old man suddenly presented a total and painful dysphagia with a high fever, with complete regression in five days. It was a case of an acute attack of chronic oesophagitis due to a diverticular inflammation. CEsophagoscppy shows, spaced out over 27 to 40 cm, multiple tumours which are the typical papillomas found on anatomo-pathological examination. Papillomatosis is the subject of discussion. - Within the framework of rare benign tumours of the oesophagus, papilloma appears fairly rare: 14 out of 432 benign tumours collected by Plachta in 1962. - Anatomo-pathological diagnosis is difficult and it is possible to mistake it for cancer. - The pathogenesis is incertain. It is most frequently found in association with stenosis of the oesophagus with or without cesophagitis. There is sometimes another lesion: hiatal hernia or diverticule (the authors' case). Epithelial irritation of the cesophagus appears to be the predominant factor. Wakeley thinks, moreover, that papillomas are most frequent in regions exposed to irritation or traumatisms. - The future of these tumours is difficult to assess. Saome admit that it is potentially malignant, but the very small number of published cases makes it impossible to formulate a rule of conduct precisely based on facts.
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