Japanese

Clinicopathological Feature of Junctional Gastric Cancer Comparison with Barrett Esophageal Cancer Sumiya Ishigami 1 , Takashi Aiko 1 , Hiroshi Okumura 1 , Yoshikazu Uenosono 1 , Tetsuro Setoyama 1 , Yasuto Uchikado 1 , Shoji Natsugoe 1 1Department of Surgical Oncology and Digestive Surgery, Graduate School of Medical Sciences, Kagoshima University, Kagoshima, Japan Keyword: 食道胃接合部腺癌 , 早期癌 , 手術 pp.1104-1109
Published Date 2009/6/25
DOI https://doi.org/10.11477/mf.1403101700
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 We retrospectively analyzed and discussed clinical features of 62 early cancers at the esophagogastric junction in Barrett's esophagus from case reports in Japanese. Early cancer at the esophagogastric junction in Barrett's esophagus had a high incidence of well differentiated adenocarcinoma. Mucosal cancer had no lymph node metastases and submucosal cancer had 27% of nodal involvement.

 Submucosal cancer showed elevated gross type and should be treated with lymph node dissection because of the high incidence of lymph node metastases, which factor is in occord with ordinary early cancer at the esophagogastric junction. Although, early cancer at the esophagogastric junction in Barrett's esophagus was categoriged in the Japanese Classification as Esophageal Cancer, the clinical character and treatment were similar to that in gastric cancer. Mucosal cancer can be treated endoscopically, but, we must pay attention to the possibility of lymph node metastases in unexpected sites when treating submucosal cancer. Intraoperative detection of sentinel lymph nodes seems to be a promising method, leading to proper surgery for the early cancer at the esophagogastric junction in Barrett's esophagus.


Copyright © 2009, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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