Abstract

PINHO, Cláudia  and  PINHO, Rosa de. Esophageal squamous cell carcinoma: is the human papillomavirus a risk factor?. Rev Port Med Geral Fam [online]. 2020, vol.36, n.3, pp.300-304. ISSN 2182-5173.  https://doi.org/10.32385/rpmgf.v36i3.12497.

Introduction: Esophagus squamous papilloma (PEE) is a rare, benign epithelial lesion, usually asymptomatic and discovered as an accidental finding during upper digestive endoscopy (EDA). Two possible etiological factors have been described, one of them is Human Papillomavirus (HPV) infection. Case report: The presented clinical case reports the accidental diagnosis of a PEE in a caucasian woman with a history of the dyspeptic disease, who is a member of a reconstructed family since 2015. She is a smoker and has a sedentary lifestyle, having been diagnosed with obesity since 2016. Her National Vaccination Plan is up to date, but she never had been vaccinated against HPV. This patient comes to a scheduled consultation, presenting an occasional epigastric pain associated with heartburn and postprandial infarction, with 6 months of evolution. Dietary measures were recommended, and a proton pump inhibitor was prescribed. After three months she maintained dyspeptic complaints despite the therapeutic test and endoscopy was requested which revealed a "polyp with 4mm (at 30cm of the incisors) suggestive of papilloma, completely removed with cold tweezers". The histological study revealed "fragments of the esophageal mucosa compatible with squamous papilloma". Comments: In order to approach this type of lesion, with possible viral etiology, there are no official recommendations of surveillance or the preventive attitude required in the primary health care level, so the collaboration of the gastroenterology was essential. This case seeks to recall the etiological factors that may be the basis of this type of lesions and the role of the family physician in the diagnosis, follow-up, and surveillance of risk factors that may favor the appearance of this type of lesions.

Keywords : Papilloma; Papillomaviridae; Esophageal mucosa; Family practice.

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