A Squamous Cell Papilloma of Mid-esophagus

Squamous cell papillomas of esophagus though rare are encountered mostly as an incidental finding in upper gastrointestinal endoscopy.

It is a well circumscribed raised lesion of varying size with more or less smooth surface. It may have a neck or may be sessile, without any stalk.
Though the cause of it is exactly not known, can be due to;

• Human Papilloma Virus, if the viral DNA can be identified in the specimen.
• Can be associated with esophageal reflux disease.
• May be associated with tobacco chewing.

Usually, remains benign; but can turn into malignancy in rare cases.
Treated through endoscopic snare cauterization and submitted for histopathological study to ascertain the nature of the lesion.