Most are asymptomatic, although they may cause dysphagia. The most frequent location is the posterior wall of the lower third of the esophagus, and the lesions are usually isolated. Endoscopically, the papilloma is a warty, polypoid mass that is firm to touch. There are no pathognomonic symptoms for the typical esophageal squamous papilloma, unless the patient presents with the rare large papilloma or diffuse esophageal papillomatosis which may cause dysphagia.
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