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Double Adenocarcinoma in Barrett's Esophagus: A Case Report |
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| Authors: | KATO, HOICHI IIZUKA, TOSHIFUMI WATANABE, HIROSHI HIRATA, KATSUJI HIRASHIMA, TOSHIO MATSUE, HIROTO ITABASHI, MASAYUKI HIROTA, TERUYUKI |
| Affiliation: | National Cancer Center Research Institute Tokyo *Departments of Surgery, Medicine National Cancer Center Research Institute,Tokyo **Department of Radiology National Cancer Center Research Institute,Tokyo ***Pathology Division National Cancer Center Research Institute,Tokyo |
| Abstract: | At the National Cancer Center Hospital in Tokyo, a patient withBarrett's esophagus developed double adenocarcinoma of the esophagus.One carcinoma was located in the midesophagus and the otherjust above the anatomic cardia. Esophagoscopic examination withbiopsy revealed two carcinomas surrounded with columnar epitheliumand ectopic islets of gastric mucosa situated in the postcricoidregion. There was no ulcer or stricture in the esophagus. Thepatient received subtotal esophagectomy and survived the operation.Microscopically, depth of invasion of the proximal cancer wasto the proper muscle, and that of the distal one was to thesubmucosal layer. There was metastasis to two lymph nodes. Therewas no sign of inflammation or ulcer in the esophagus. |
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