Morphological changes in a pyogenic granuloma of the esophagus observed over three years

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Abstract

A 78-year-old Japanese man underwent routine esophagogastroduodenoscopy, during which a reddish, flat elevated lesion was observed in the middle third of the esophagus. A bright red area of protrusion appeared in the center of the elevated lesion three months later, and the protruded nodule grew to be a blood blister six months after the initial endoscopy examination. The morphology of the lesion changed from a protruded nodule to a mass with two humps that subsequently returned to a single hump during the three-year observation period. A histological diagnosis of pyogenic granuloma was made based on a biopsy performed at six months. This report illustrates a rare case of an esophageal pyogenic granuloma presenting with a unique endoscopic appearance and morphologic changes. Endoscopic ultrasonography images are also presented.

Original languageEnglish
Pages (from-to)1737-1740
Number of pages4
JournalInternal Medicine
Volume54
Issue number14
DOIs
Publication statusPublished - Jul 15 2015

Keywords

  • Esophageal neoplasms
  • Gastrointestinal neoplasms
  • Lobular capillary hemangioma
  • Pyogenic granuloma

ASJC Scopus subject areas

  • Internal Medicine

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