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Early Carcinoma Existing in Barrett's Esophagus, Report of a Case A. Oshima 1 , N. Ando 1 , Y. Suguro 1 , H. Miyoshi 1 , O. Abe 1 1Department of Surgery, Keio University Hospital pp.71-75
Published Date 1983/1/25
DOI https://doi.org/10.11477/mf.1403109241
  • Abstract
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 A 46-year-old man was admitted to Keio University Hospital with a three-month history of retrosternal burning sensation. The patient had dwarfism with remarkable scoliosis, which was osteogenesis imperfecta tarda. The patient attributed to 122.5 cm in height and weighed 35 kg. Laboratory findings on admission showed no abnormality. Radiologic and endoscopic findings showed irregular mucosal elevations at the middle esophagus with hiatal hernia. Biopsy specimens disclosed columnar epithelium and adenocarcinoma.

 The patient underwent intrathoracic esophageal resection and cervical esophagogastrostomy. Any malformation or abnormality in the alimentary tract was detected at the operation. The elevated lesion in the resected specimen measured 33×29 mm in size and was located in the anterior wall of the middle esophagus.

 Histologically the lesion demonstrated poorly differentiated adenocarcinoma, partially signet-ring cell carcinoma, existing in the columnar-lined epithelium, the invasion being limited to the submucosal layer. There was no evidence of lymph node metastasis. The case is believably the first report of a successfully resected early carcinoma located in Barrett's esophagus in Japan.


Copyright © 1983, 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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