Benign esophageal tumors
Squamous papilloma: verrucous papillated shape
Leiomyoma: polypoid lesions
Fibrovascular Polyp
Granular cell tumor: narrowing of the middle portion of the esophagus with a small area of erosion
Hyperplastic polyp: ulcerative acute esophagitis with granulation tissue
Malignant esophageal tumors
Squamous Cell Carcinoma: With narrow-band imaging, “metallic silver sign” , revealed mixture of stained and unstained area
Multifocal Squamous Cell Carcinoma
Adenocarcinoma: ulcerated, constricting tumor in several centimeters above the esophagogastric junction, arising in a segment of Barrett's esophagus
Kaposi Sarcoma: Raised, slightly violet colored lesions in the midesophagus
Initial management
•Biopsy: Histology examination
•Other test based on endoscopy images: esophagogram chest Xray; CT, endoscopic Ultrasonograph Bronchoscopy, PET scan
•Management:
–Endoscopic mucosal resection
–Radiotherapy
–Chemotherapy
–Surgery to remove part of or whole tumors
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