A CASE OF PRIMARY UPPER INTRA-THORACIC ESOPHAGEAL ADENOCARCINOMA IN ECTOPIC GASTRIC MUCOSA IN AN ELDERLY PATIENT
| Autor: | Makoto Takagi, Yoshiaki Osaka, Osamu Koganezawa, Keiichiro Inoue, Yu Takagi, Yasuhisa Koyanagi, Shigeru Sato, Kozaburo Kimura, Naoki Kuroda, Masato Moritani |
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| Rok vydání: | 1994 |
| Předmět: |
Pathology
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Stratified squamous epithelium medicine.disease digestive system diseases Endoscopy medicine.anatomical_structure Blunt dissection Biopsy medicine Gastric mucosa Adenocarcinoma Thoracotomy Radiology Esophagus business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 55:390-394 |
| ISSN: | 0386-9776 |
| DOI: | 10.3919/ringe1963.55.390 |
| Popis: | A surgical case of primary esophageal adenocarcinoma in ectopic gastric mucosa which was located in the upper intrathoracic region of the eosphagus is described in this report. The patient was an 85-year-old male. He started to suffer from difficulty of swallowing since April of 1991. Endoscopy was performed and a tumor narrowing the entire circumference was observed on the left side of the posterior wall of the esophagus located 20cm from the incisor line. Biopsy diagnosed this case as poorlydifferentiated adenocarcinoma. On May 9, 1991, blunt dissection without thoracotomy was performed, followed by postmediastinum esophagogastrostomy. The surgical findings were A2NxM0Plx. The postoperative course was unevent ful and the patient was discharged from the hospital on the 39th day after surgery. Histopathologically this tumor was adenocarcinoma with a variety of histological patterns such as highly-moderately and poorlydifferentiated and mucinous types. Stratified squamous epithelium was present on the oral and anal sides of the lesion. Columnar epithelium resembling that of gastric mucosa was also found in the tumor. Given these findings, this case was diagnosed as having an adenocarcinoma in ectopic gastric mucosa. Only five cases of malignancy originating from ectopic gastric mucosa have been reported in Japan including the present case. The course of the patient with ectopic gastric mucosa should be carefully observed. |
| Databáze: | OpenAIRE |
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