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The Old Endoscopy Quiz (and Answer) of the Month
May 2005

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Question:

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This quite old lady came to an upper endoscopy because of dyspeptic symptoms. She had gone through a partial gastric resection some 50 years earlier. Her symptoms were relieved by proton pump inhbitors. This is the finding in her oesophagus, where three lesions like these were found. A control endoscopy two years later showed the same finding. What are these lesions?

Answer:

    Squamocellular papillomas in the oesophagus


    A squamous papilloma in the upper part of the oesophagus
    		Squamous Papillomas, Oesophageal or Squamocellular Papillomas are small benign polypoid lesions, which seldom produce any symptoms and therefore often are found incidentally. There is a very small risk of cancer development so these papillomas should usually be removed at least when found in a young patient.

Correct answers and comments were emailed by

    Amrani Khalil, Constantine, Algeria
    Zahreddine Radwan, Beirut, Lebanon
    LUISGUILLERMOGUERRERO, BOGOTA, COLOMBIA
    Salvatore Della Ducata, Gallipoli, Italy
    Ma³gorzata Ferenc, Olsztyn, Polska
    Ellie Pongratz, Bowie, Md
    U. Cuartas, Augusta, USA
    PARABOLI SILVA, Marcio Luiz M.D., SAO JOSE DO RIO PRETO, BRAZIL
    Dr.Virendra Parikh, Fort Wayne, Indiana, USA

    En Buyuk Galatasaray, Istanbul, TURKEY
    alighavidel, tabriz, Iran
    Altin, CEKODHIMA, TIRANA, Albania
    Claudia Iacobescu, Bucharest, Romania
    German Lloret Salom, Alzira, Spain
    Klaudia J.Niepsuj, Gliwice, Poland
    Claudio Vasconcelos, Salvador, Brazil/Bahia
    Pierre Gholam, Providence, RI

Comments:

    Squamocellular papilloma, but biopsy should be obtained to r/o carcinoma, most likely this is a benign condition in this patient, not changes in 2 years.

    Har fått mycket användbar information från den här hemsidan. Tack.

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