A CASE REPORT OF CONGLOMERATED GRANULAR SQUAMOUS CELL PAPILLOMA IN THE MIDDLE THIRD OF THE ESOPHAGUS AFTER FUNDECTOMY FOR THE GASTRIC CANCER

Abstract

A 76-year-old man admitted to our hospital with complaints of malnutrition and dysphagia. Radical fundectomy of the stomach for fundic cancer (IIc+III like advance) was performed in our hospital 3.5 years before. After discharge from our hospital, he had been suffering from the reflux esophagitis, and so twice endoscopic examinations for the Upper G. I. tract were performed and revealed the granular congromelated papilloma of the esophagus at 3-4 cm region just above the anastomosis. We could't differentiate exactly from aggregated O-IIa type esophageal cancer and then endoscopic mucosal resection (EMR) was performed for total biopsy. Histological diagnosis was benign squamous cell papilloma. EMR was extremely effective for differentiate diagnosis for this lesion. There was no same case as this granular congromelated papilloma of the esophagus in the review of references.