Esofagic Papilomatosis: in relation to a case

Abstract

The benign tumors of the esophagus are rare, being only the 0,5-0,8 % of all the esophageal tumors. Around the 60 % of the benign esophageal tumors are leiomyomas, 20 % are cists and 5 % are polyps. The rest of the lesions occur with a frequency less than 2 % being curiosities, and among them there is the papilloma. The papilloma are benign, fibrous and sessile tumors covered by a squamous epithelium produced by the human papilloma virus (HPV), having the capacity of producing proliferative lesions in the skin and/or mucosa. In the digestive tract they are more frequently located to the proximal (mouth) and distal (rectum) endings. In the case we present, it is a distal esophageal location in a male patient aged 49, with symptoms suggesting a disease by gastro-esophageal reflux and/or disturbances of the esophageal motility, arriving to the diagnosis by endoscopy and biopsy: elevated esophageal lesions and the presence of koilocytes. We indicated a treatment with Recombinant Alpha 2 Interferon, being pending the post-treatment endoscopic and histological evolution.