Esophageal squamous papilloma is an uncommon finding on esophagography (barium swallow). It is a benign lesion, but it is difficult to differentiate it from osophageal carcinoma on esophagography and the diagnosis is usually made with endoscopic biopsy.
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Clinical presentation
Often asymptomatic, but may cause dysphagia 2.
Pathology
Benign hyperplastic epithelial lesion consisting of a fibrovascular core with multiple small projections.
It is very rarely associated with a malignant tumor 4 .
Radiographic features
Barium oesophagram (barium swallow)
small sessile polyp with a smooth or slightly lobulated contour 3
Differential diagnosis
Treatment
For a conclusive diagnosis and course of therapy, excision of papillomas is advised due to the possibility of malignancy in these lesions 5 .