A Case of Esophageal Squamous Papilloma, an Unusual Cause of Dysphagia and Hematemesis in a Patient with Concurrent Malignancies

Introduction: The oesophageal squamous papilloma (ESP) is a rare cause of dysphagia and hematemesis. The malignant potential of this lesion is uncertain; however, the malignant transformation and concurrent malignancies have been reported in the literature. Case description: We report a case of oesophageal squamous papilloma in a 43-year-old female who had a background diagnosis of metastatic breast cancer and liposarcoma of the left knee. She presented with dysphagia. Upper gastrointestinal (GI) endoscopy showed a polypoid growth, and its biopsy confirmed the diagnosis. Meanwhile, she presented again with hematemesis. A repeat endoscopy showed that the previously seen lesion had likely broken off, leaving behind a residual stalk. This was snared and removed. The patient remained asymptomatic, and a follow-up upper GI endoscopy at six months did not show any recurrence. Practical implications: To our knowledge, this is the first case of ESP in a patient with two concurrent malignancies. Moreover, the diagnosis of ESP should also be considered when presenting with dysphagia or hematemesis.

Laser microsurgery in the therapeutic management of atypical laryngeal papilloma – comments on a clinical case

Papillomas are some of the most common injuries found in the larynx and belong to the category of precancerous, progressive, recurrent conditions, with a high severity potential. They take two clinical forms: recurrent respiratory papillomatosis and keratinised squamous papilloma. In this article, the authors present the main elements of therapeutic conduct applied to a patient diagnosed with keratinised squamous papilloma. This case highlights peculiarities related to the atypical location of the tumor, the patient’s personal history, the surgical approach difficulties encountered in this case and the advantages conferred by laser technology in successfully solving such a pathology.

Efficacy of Diode Laser in Treating Oral Papilloma: A Case Report

Background: Oral squamous papilloma is the most common lesion caused by the Human Papillomavirus (HPV). They are benign proliferation, often painless, and with cauliflower or verrucous appearance. Objective: The aim of this report is to describe a clinical case of oral squamous papilloma and its treatment with a high-intensity diode laser. Case Presentation: A 65-year-old female patient sought care at the Special Laboratory of Lasers in Dentistry (LELO), University of São Paulo, Brazil, complaining of growth of a soft tissue mass in the jugal mucosa. Based on these clinical characteristics and history, Papilloma was the initial clinical diagnosis of the lesion. Although the lesion was small in size, measuring approximately 0.5 cm, the diagnostic method used was biopsy, and for treatment, a high-intensity diode laser at a wavelength of 980 nm was used. Conclusion: It can be concluded that Laser Therapy can be used by dental clinicians to treat these kinds of oral lesions and should be considered as an effective alternative to conventional surgery.