Tentacular-Type Esophageal Papilloma

Abstract

A 54-year-old woman with a medical history of irritable bowel syndrome underwent an upper endoscopy due to new symptoms of dysphagia to solids greater than liquids. Two plaques, 5-6 mm in size, with some filiform protuberances were found in the middle third of the esophagus, 23-25 cm from the incisors (Figure 1). Narrow band imaging was performed, which did not show any abnormal vasculature (Figure 2). Histopathology showed esophageal mucosa with thin papilloma (Figure 3). Esophageal papilloma is classified as a benign lesion with low potential for malignancy. 1 Although the etiology is unclear, chronic mucosal irritation and human papillomavirus may be associated. Our patient has an uncommon gross appearance with filiform/tentacle-like protuberances that has only been reported once previously in literature. 2