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Superficial Cancer of Barrett's Esophagus was Difficult to Differentiate from an Inflammatory Polyp, Report of a Case Junko Fujiwara 1 , Kumiko Momma 1 , Shin-ichiro Horiguchi 2 , Takashi Fujiwara 3 , Yoko Tateishi 2,4 , Tsunekazu Hishima 2 1Department of Endoscopy, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo 2Department of Pathology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo 3Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo 4Department of Pathology, Yokohama City University Graduate School of Medicine, Yokohama, Japan Keyword: Barrett食道癌 , Barrett食道 , 内視鏡診断 , 早期食道癌 , 炎症性ポリープ pp.1360-1365
Published Date 2016/9/25
DOI https://doi.org/10.11477/mf.1403200734
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 A stage 0-I+IIb lesion developed in the short-segment Barrett's esophagus with reflux esophagitis in the underlying mucosa. Because no endoscopic findings were suggestive of cancer, the condition was diagnosed as an inflammatory polyp. However, a biopsy indicated the possibility of a tumor, and endoscopic submucosal dissection was performed for total biopsy. Pathology revealed images of an inflammatory polyp intermixed with Barrett's esophageal cancer in the 0-I portion, with inflammation and granulation covering the surface. The IIb portion on the oral side showed the progression of adenocarcinoma below the squamous epithelium. Because the tumor was not exposed, biopsy was the only means to diagnose the cancer.


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

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