Primary Adenocarcinoma of the Esophagus Report of Six Cases |
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Authors: | KATO HOICHI; IIZUKA TOSHIFUMI; WATANABE HIROSHI; HIRATA KATSUJI; SAITO TAKAO; HIRASHIMA TOSHIO; HIROTA TERUYUKI; ITABASHI MASAYUKI |
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Institution: | Department of Surgery, National Cancer Center Tokyo
*Department of Medicine, National Cancer Center Tokyo
**Department of Pathology Division, National Cancer Center Tokyo |
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Abstract: | Six primary adenocarcinomas were found among 1,346 cases ofesophageal carcinoma, an incidence of 0.45%. Three of the adenocarcinomaswere the "type ordinaire" of Lortat-Jacob, two were adenoidcystic carcinoma, and one was mucoepidermoid carcinoma. Theinitial symptom was dysphagia in all six cases. All six lesionswere located in the middle and/or lower third of the esophagus.Esophagograms showed tumorous-type lesions in four cases andspiral-type in two cases. Although endoscopical examinationwas performed in five cases, the biopsied specimen showed adenocarcinomasin only two. Four patients were operated and on two receivedradiation therapy. Four patients died within one year, and twoare still alive more than 21 months after surgery. |
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