Hyperplastic polyps of the esophagus and esophagogastric junction with esophageal constriction – a case report

Abstract

Hyperplastic polyps of the esophagus and esophagogastric junction are uncommon lesions which are characterized by hyperplastic epithelium (foveolar type, squamous or both) with variable amount of inflammed stroma. Hyperplastic polyps develop mostly in patients with hiatus hernia and or with reflux esophagitis. This case study reports a 34-year-old male with hyperplastic polyps of the esophagus and gastroesophageal junction with constriction from reflux esophagitis. His main complain was dysphagia for solid foods, then to liquid foods for two months duration. He also had significant loss of weight. Grossly a dark brown tubular structure was received with multiple sessile polyps. Microscopically, the lesion was characterized by hyperplastic squamous epithelium with areas showing cores of connective tissue which is inflammed and infiltrated by lymphoplasma cells including eosinophils. The area of esophageal constriction shows fibrosis and chronic inflammation only.