Lecture notes for medical students

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7. See notes for bibliography.

2. Introduction & History.

3. Introduction & History.
• Rare tumours- 0.5 to 0.8 percent of
neoplasms of oesophagus.

4. Etiology

5. Etiology
• Idiopathic
• Congenital
• Traumatic
• Infections /Infestation
• Autoimmune
• Neoplastic (Benign/Malignant)
• Degenerative

6. Pathophysiology

7. Pathophysiology
• Squamous cell papilloma
• True adenoma (rare) or adenomatous
hyperplasia
• Mucus retention cyst
• Inflammatory pseudotumor
• Fibrovascular polyp
• Leiomyoma
• Hemangioma
• Granular cell tumor
• Lipoma

8. Clinical Features

9. Clinical Features
• Demography
• Symptoms
• Signs
• Prognosis
• Complications

10. Demography

11. Demography
• Rare leisons

12. Symptoms

13. Symptoms
• Asymptomatic

14. Signs

15. Signs
• Incidently discovered on endoscopy or
Barium swallow.
• During endoscopy, the mucosa is intact and
the extrinsic mass narrows the lumen but
can easily be displaced and passed with the
esophagoscope.

16. Prognosis
• Good

17. Complications
• Nil

18. Investigations

19. Investigations
• Laboratory Studies
– Routine
– Special
• Imaging Studies
• Tissue diagnosis
– Cytology
• FNAC
– Histlogy

20. Diagnostic Studies

21. Diagnostic Studies
Imaging Studies
• X-Ray
• USG
• CT
• Angiography
• MRI
• Endoscopy – avoid biopsy
• Nuclear scan

26. Management

27. Management
• Observation
• Endoscopic resection
• Open resection
– Thracotomy
– Cervical incision
• VATS- Video Assisted Thoracoscopic
Surgery

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