A Case of Esophageal Squamous Papilloma, an Unusual Cause of Dysphagia and Hematemesis in a Patient with Concurrent Malignancies

  • Muhammad Saqib Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan https://orcid.org/0000-0003-3573-6934
  • Muhammad Zeeshan Siddique Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan
  • Jhanzeb Iftikhar Department of Medical Oncology, Singleton Hospital, Swansea Bay University Health Board NHS Trust, Port Talbot, United Kingdom
  • Shafqat Mehmood Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan
  • Muhammed Aasim Yusuf Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan
Keywords: Dysphagia, esophageal squamous papilloma, hematemesis, pre-malignant

Abstract

Introduction: The oesophageal squamous papilloma (ESP) is a rare cause of dysphagia and hematemesis. The malignant potential of this lesion is uncertain; however, the malignant transformation and concurrent malignancies have been reported in the literature. Case description: We report a case of oesophageal squamous papilloma in a 43-year-old female who had a background diagnosis of metastatic breast cancer and liposarcoma of the left knee. She presented with dysphagia. Upper gastrointestinal (GI) endoscopy showed a polypoid growth, and its biopsy confirmed the diagnosis. Meanwhile, she presented again with hematemesis. A repeat endoscopy showed that the previously seen lesion had likely broken off, leaving behind a residual stalk. This was snared and removed. The patient remained asymptomatic, and a follow-up upper GI endoscopy at six months did not show any recurrence. Practical implications: To our knowledge, this is the first case of ESP in a patient with two concurrent malignancies. Moreover, the diagnosis of ESP should also be considered when presenting with dysphagia or hematemesis.

Published
2021-10-21
How to Cite
1.
Saqib M, Zeeshan Siddique M, Iftikhar J, Mehmood S, Aasim Yusuf M. A Case of Esophageal Squamous Papilloma, an Unusual Cause of Dysphagia and Hematemesis in a Patient with Concurrent Malignancies. J Cancer Allied Spec [Internet]. 2021Oct.21 [cited 2022May24];8(1). Available from: https://journals.sfu.ca/jcas/index.php/jcas/article/view/427