Esophageal Squamous Papilloma
5 mm polypoid lesion in the proximal esophagus of a 37 year-old man. Close-up at right.
Left: Small nodule at the esophagogastric junction best seen on retroflexion, an incidental finding in this 76 year-old woman undergoing an evaluation of gastrointestinal bleeding.
Right: Small benign-appearing polyp just above the squamocolumnar junction in a 66 year-old woman.
54 year-old woman with dysphagia and dyspepsia. Endoscopy revealed a 5-6 mm sessile polyp in the distal third of the esophagus. The lesion was
snared and histology revealed it to be a benign squamous papilloma with mild focal dysplasia and features suggestive of the Human Papilloma Virus.
52 year-old woman undergoing upper endoscopy for chronic acid reflux symptoms, to rule out Barrett's. A 6 mm polypoid lesion was found in the proximal esophagus 15 cm distal to the incisors. When first seen (image at left), the lesion appeared to be sessile. However, manipulation with a forceps revealed it to be pedunculated, and it was therefore completely excised using a snare wire. Histology was that of a benign squamous papilloma.
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