摘要
目的探讨食管乳头状瘤(EP)的临床内镜特点及病理。方法回顾性总结分析36例EP患者的临床内镜资料。结果(1)EP的临床表现无特异性。(2)内镜下病变主要位于中下段并且与食管炎相关,易被误诊为息肉及白斑。(3)治疗后15例患者随访3个月正常,11例随访2年未见复发,1例2年后在原来不同部位再发EP。结论(1)EP是否并发临近脏器肿瘤有待进一步研究。(2)黏膜慢性炎在EP发病中起一定作用。(3)乳头状病毒(HPV)感染与EP的发病关系有待进一步探讨。(4)EP的发病是否与遗传基因相关也值得关注。
Objective To explore the feature of clinical findings of esophageal papilloma （EP） and its pathology . Methods Clinical data and endoscopic findings of 36 cases of EP were retrospectively analyzed. Restllts （1）There was no specific features in EP. （2）the lesions under endoscope mainly located at the mid and lower part and were related to esophagities , they were prone to be misdiagnesed as polypi or vitiligo. （3）The follow - up showed 15 cases remain normal 3 months after treatment and 11 cases without relapse within 2 years , 1 case had recurrence of EP at other lccation 2 years later . Conclusions （1） Whether EP complicates with tumors in surrounding organs needs further study; （2）mucosal chronic inflanmmation plays a role in EP morbidity; （3）The relationship between HPV infection and EP morbidity needs further investigation ;（4）EP morbidity＇ s correlation to genetics needs further study.
出处
《浙江临床医学》
2008年第4期441-442,共2页
Zhejiang Clinical Medical Journal
关键词
食管乳头状瘤
临床
内镜分析
Esophageal papilloma（EP）
Clinical
Analysis of endoscopic findings
