Approach to Management of Recurrent Esophageal Squamous Papilloma

Jordan C. Malone, Robinder P. Abrol, Gabriel L. Reep, Mohamed O. Othman
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Abstract

Esophageal squamous papilloma (ESP) is an uncommon, normally benign epithelial neoplasm with rare potential for malignant transformation. These lesions are oftentimes found incidentally on upper endoscopy and are typically managed with endoscopic excision, dissection, or ablation. However, there remains a paucity of published management guidelines in the current literature. We present a case of an older female who was found to have an extensive mid-esophageal ESP with recurrence despite endoscopic intervention. We highlight the multi-institutional management approach to her morphologically atypical ESP and the nuance involved in treating recurrent lesions of this type.
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复发性食管鳞状乳头状瘤的治疗方法
食管鳞状乳头状瘤(ESP)是一种不常见的、通常为良性的上皮肿瘤,很少有恶变的可能。这些病变往往是在上内镜检查中偶然发现的,通常采用内镜下切除、剥离或消融术进行治疗。然而,在目前的文献中,发表的处理指南仍然很少。我们介绍了一例年长女性的病例,她被发现患有广泛的食管中段 ESP,尽管进行了内镜干预,但仍然复发。我们重点介绍了多机构对其形态不典型的 ESP 的处理方法,以及治疗此类复发病灶的细微差别。
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