Esophageal Adenocarcinoma in the Proximal Esophageal Segment: A Unique Presentation in a Male With Alcohol Abuse.
| Autor: | Shiflett BS; Internal Medicine, Grandview Medical Center, Dayton, USA., Ekanayake LS; Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, USA., Rodriguez AL; Internal Medicine, Grandview Medical Center, Dayton, USA., Ikramuddin I; Internal Medicine: Gastroenterology, Dayton Gastroenterology Inc., Dayton, USA., Myers C; Internal Medicine, Grandview Medical Center, Dayton, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Jun 27; Vol. 12 (6), pp. e8863. Date of Electronic Publication: 2020 Jun 27. |
| DOI: | 10.7759/cureus.8863 |
| Abstrakt: | Esophageal adenocarcinoma (EAC) is a malignancy classically seen in the distal esophagus. While many risk factors associated with the condition have been reported, the most common among them are gastroesophageal reflux disease (GERD) and obesity. Histological changes range from metaplasia within the esophagus from stratified squamous epithelium to non-ciliated columnar cells with goblet cells. In contrast, squamous cell carcinoma (SCC) is classically found in the proximal portion of the esophagus and its risk factors include tobacco and alcohol use. We present a unique case of a 59-year-old African American male who presented to the ED with dysphagia, weight loss, and multiple episodes of emesis. Notable medical history included tobacco abuse, alcohol abuse, and alcoholic cirrhosis. Currently, there are numerous case reports delineating unique presentations of esophageal cancers; however, there are few case reports that demonstrate EAC affecting the proximal segment of the esophagus. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Shiflett et al.) |
| Databáze: | MEDLINE |
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