Esophageal xanthoma: presence of M2 macrophages suggests association with late inflammatory and reparative processes

Autor: Uehara Karina, Iwashita Hidehiko, Tanabe Yasuka, Kurima Kiyoto, Oshiro Mariko, Kina Shinichiro, Ota Atsuko, Iwashita Akinori, Kinjo Takao
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Open Medicine, Vol 12, Iss 1, Pp 335-339 (2017)
Druh dokumentu: article
ISSN: 2391-5463
DOI: 10.1515/med-2017-0048
Popis: Esophageal xanthoma is a rare lesion which is an asymptomatic small yellowish polyp, and most of the reported cases were solitary lesion. Histologically, aggregations of foam cells are found under the papillary hypertrophic squamous epithelium and the foam cells express CD68. The etiology of esophageal xanthoma is unknown. The focal irritation of the esophageal mucosa and infiltrated inflammatory cells are presumed to contribute to its pathogenesis. Although the pathogenesis may be associated with inflammation, the type and nature of the macrophages remain unclear. Here we report a 46-year-old male with esophageal xanthoma, which was incidentally found by endoscopy. Histologically, acute inflammation was not noted, and immunohistochemistry revealed that the foam cells seen in this case of esophageal xanthoma expressed increased levels of M2 macrophage markers. These findings suggest that esophageal xanthoma is associated with late inflammatory and reparative processes long after the initial inflammation of esophageal squamous epithelium.
Databáze: Directory of Open Access Journals