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Foreign body reaction mimicking a second primary tumour of the oesophagus

Published online by Cambridge University Press:  12 October 2007

J Pollock  and
N Beasley
J Pollock
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK
N Beasley*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK
*
Address for correspondence: Mr Nigel Beasley, Consultant Head and Neck Surgeon, Department of Otolaryngology – Head and Neck Surgery, Queen's Medical Centre, Nottingham NG7 2UH, UK. Fax: 0115 970 9748 E-mail: nigel.beasley@qmc.nhs.uk
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Abstract

Objective:

To present a significant complication of pharyngolaryngeal reconstruction, which resulted in diagnostic confusion as it mimicked a second primary tumour of the head and neck.

Methods:

Case report and review of the world literature.

Case report:

A 61-year-old man developed a granulomatous foreign body reaction, mimicking a second primary tumour, at the distal end of a salivary bypass tube, following pharyngolaryngectomy and reconstruction using a tubed anterolateral thigh flap. Clinically and radiologically, this was felt to represent a second primary tumour of the oesophagus, but biopsies revealed full thickness inflammation of the mucosa and granulation tissue. Repeat oesophagoscopy two weeks after removal of the tube showed complete resolution.

Conclusion:

No record of an oesophageal foreign body reaction to a Montgomery salivary bypass tube has previously been reported in the world literature. This report highlights the potential for such a lesion to cause diagnostic confusion with a second primary tumour.

Keywords

GranulomaForeign Body ReactionSecond Primary NeoplasmOesophagus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 12 , December 2008 , pp. 1401 - 1403
Copyright
Copyright © JLO (1984) Limited 2007

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