Xie FL, Yao LQ, Yu YH. Clinicopathologic features of inflammatory fibroid polyp of the esophagus.
Shijie Huaren Xiaohua Zazhi 2012;
20:776-780. [DOI:
10.11569/wcjd.v20.i9.776]
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Abstract
AIM: To explore the clinical and pathological features of inflammatory fibroid polyp (IFP) of the esophagus and to discuss its diagnosis, differential diagnosis, treatment and prognosis.
METHODS: A case of IFP of the esophagus was investigated by light microscopy and immunohistochemistry. A literature review was then performed to summarize the clinical and pathological features of the disease.
RESULTS: A 71-year-old man presented with epigastric/retrosternal pain and dysphagia for 3 months. Endoscopy revealed a hemispheric lesion, 2.5 cm in size, in the esophageal mucosa about 35 cm from incisors. On EUS, the lesion (13.2 mm x 11 mm) was hypoechogenic and inhomogeneous, and was located under the mucosa of the esophagus, with a clear boundary. Surgical resection of the esophageal mass was performed, and the final pathologic diagnosis was IFP of the esophagus.
CONCLUSION: IFP of the esophagus is an extremely rare mesenchymal tumor with benign behavior and good prognosis. A correct preoperative diagnosis is difficult and relies on postoperative pathological examination. Surgical excision is the preferred treatment for IFP.
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