Papilloma of the esophagus: association with hiatal hernia
Adler, R.H.; Carberry, D.M.; Ross, C.A.
Journal of Thoracic Surgery 37(5): 625-635
1959
ISSN/ISBN: 0096-5588 PMID: 13655317 Document Number: 9547
Papilloma of the esophagus is an unsettled subject and one about which no unanimity of opinion exists. It is curious that interest in the subject has dropped in recent years despite the advances in esophagoscopy and thoracic surgery. Papilloma of the esophagus has been especially confused with localized areas of epithelial folding and mucosal hyperplasia. Granulomatous proliferations, leukoplakia, and sessile polyps should be more readily differentiated from papilloma. Complete gross and histologic examination of the resected esophagus and tumor may be necessary, however, before a definitive diagnosis may be reached. A case of papilloma of the esophagus is reported. There was an associated hiatal hernia and stricture distal to the papilloma. The distal esophagus containing the tumor was resected. Four other cases originally diagnosed as papilloma of the esophagus on the basis of esophagoseopic biopsy are briefly described. This diagnosis was later shown to be incorrect. In these cases the papiliomatous areas were encountered proximal to malignancies. Of interest was the observation that practically all cases of pa I i l honwls of the esophagus, here and in the literature, occurred in the distal esophagus proximal to an obstructing esophageal lesion. Certain impressions gathered from this review are discussed. Absolute conclusions concerning the nature of Papilloma of the human esophagus cannot be reached at this time, but variances in opinion are ell ed along with the findings in our clinical material. Perhaps as more attention is directed to the lower esophagus by clinicians and pathologists, the true nature of papilloma and related sessile mucosal lesions may become better understood.
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