Adenosquamous Carcinoma Arising from the Esophagus Lined by Columnar Epithelium after the Esophagocardiectomy, Report of a Case Hideki Ishijima 1 , Teruo Kouzu 1 , Syoichi Onoda 1 , Kaichi Isono 1 1The Second Department of Surgery, School of Medicine, University of Chiba pp.1279-1283
Published Date 1988/11/25
DOI https://doi.org/10.11477/mf.1403108783
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 The patient was 28 years old and his chief complaint was dysphagia. He had a past history of lower esophagocardiectomy due to cardiastenosis associated with cartilae aberration at the age of four. It had further been pointed out that he had esophageal ulceration on the entire circumference at the oral side of the anastomosis at the age of 12.

 In double contrast pictures of the esophagus a spiral shaped defect appears at a site below the point of bifurcation of the trachea. Endoscopic examination revealed a mucosal change beginning at a distance of 24 cm from the incisors. At a point 36 cm from the incisors a tumor was discovered.

 Biopsy specimen revealed poorly-differentiated adenocarcinoma. Antethoracic esophagoileostomy through the right thoracic approach was performed.

 From the incised specimen, it was diagnosed that adenosquamous carcinoma had developed at the esophagus which was lined by columnar epithelium. It was stage III of a2n2ly (+) v (+).

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