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題名 | Esophageal Stricture Caused by Squamous Cell Papilloma=鱗狀上皮細胞乳突狀瘤引致食道狹窄病例報告 |
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作 者 | 郭華基; 蔣臺舟; 杜和祥; 許耀平; 鍾明燈; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 31:6 民87.11-12 |
頁次 | 頁393-397 |
分類號 | 416.241 |
關鍵詞 | 鱗狀上皮細胞乳突狀瘤; 食道狹窄; Esophagus; Benign stricture; Squamous cell papilloma; |
語文 | 英文(English) |
中文摘要 | 食道鱗狀上皮細胞乳突狀瘤比較罕見,一般病灶小,臨床上很少造成症狀。本文闡述一位33歲男士,主訴近四月吞嚥困難和體重下降,沒有食道外傷和化學腐蝕灼傷的病史,食道攝影和內視鏡檢查僅能判定食道中段狹窄,手術發現食道內膜呈纖維化,造成管腔狹窄,病變部份僅作黏膜切除,組織病理確認為鱗狀上皮細胞乳突狀瘤。文獻報告這類病變大部分皆為良性和原因不明,亦有少數學者主張,乳突狀濾過病毒可能是一致病因素,甚至衍生癌病。本例雖然組織病理並非惡性,臨床常規檢查亦未見任何異樣,但病患屬年輕族群,爾後是否衍生癌病變,必須作長期追蹤研究,方有結論。 |
英文摘要 | Squamous cell papilloma of the esophagus is a rare lesion. It is usually small, and there are no clinical symptoms and signs. A 33 year-old male developed dysphagia and weight loss over a 4- month period. There was no history of corrosive injury or trauma of the esophagus. An esophagogram and panendoscopic examination confirmed a stricture at the middle third of the esophagus. Via endoscopic biopsy, several specimens were taken from this area, and the pathological examination revealed dysplasia of the esophagus. An elliptical incision of the esophageal mucosa, including the muscosal lesion, was performed. The histological examination of the resected specimen showed squamous cell papilloma of the esophagus. The patient was able to take a regular diet after the operation. A follow-up esophagogram identified a successful anastomosis with mild narrowing and a stiff wall. We report this case because stricture is an unusual clinical appearance in esophageal squamous cell papillomas. In reviewing the literature, squamous cell papilloma is usually benign, but some authors describe the possibility of malignant transformation. However, further studies of the relationship between papillomavirus infection and the risk of esophageal cancer are still required. |
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