A Case of Multiple Polyps Originating in a Skin Tube for Esophageal Reconstruction

A case of multiple polyps originating in a skin tube for esophageal reconstruction was reported in this paper. A 62-year-old man received a subtotal esophagectomy for esophageal cancer in June 1978. A stomach tube was used for the reconstruction of his esophagus. Because of the paralysis of the bilateral recurrent nerve, laryngectomy and a resection of the remnant esophagus were carried out 3 months after the esophagectomy, and the skin tube with a D-P flap was used for reconstruction. 8 years after this operation, multiple polyps developed in the skin tube, and the number of polyps has gradually increased. Since a malignancy was suspected in some of these polyps from an endoscopic examination, tissue specimens taken in frequent biopsies have been examined histologically. However, no malignancy has been found. The histological finding showed an inflammatory squamous polyp without malignancy. Another report of polyps originating in a skin tube has not been seen so far. Because the long survival of patients with esophageal cancer after reconstruction with a skin tube is unlikely, a suficient observation of the skin tube may not be possible.