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Endoscopic submucosal dissection of a minute intramucosal adenocarcinoma in Barrett's esophagus.


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Title: Endoscopic submucosal dissection of a minute intramucosal adenocarcinoma in Barrett's esophagus.
Authors: Ikeda, Koki / Isomoto, Hajime / Oda, Hidetoshi / Shikuwa, Saburo / Mizuta, Yohei / Iwasaki, Keisuke / Kohno, Shigeru
Issue Date: Jan-2009
Citation: Digestive endoscopy, 21(1), pp. 34-36; 2009
Abstract: A 73-year-old man with short segmental Barrett's esophagus underwent esophagoscopy, and a slightly depressed, discolored lesion was found on the anterior wall of the lower esophagus. Under a provisional diagnosis of differentiated adenocarcinoma without local lymph node metastasis, endoscopic submucosal dissection (ESD) was carried out. En bloc resection with tumor-free lateral/basal margins was accomplished without complication. The resected area was 12 x 15 mm in size, whereas the neoplastic lesion was 4 x 4 mm. Histopathological examination confirmed intramucosal well-differentiated tubular adenocarcinoma without angiolymphatic invasion adjacent to the muscularis mucosae. Repeated esophagoscopy 6 months after ESD showed neither locally recurrent nor metachronous lesions. Considering that Barrett's esophagus is a precancerous condition, one may recommend eradication of both the neoplastic and non-neoplastic lesion with using ESD.
Description: Without Figures
Keywords: endoscopic submucosal dissection / Barrett’s adenocarcinoma / Barrett’s esophagus
URI: http://hdl.handle.net/10069/22899
ISSN: 09155635
DOI: 10.1111/j.1443-1661.2008.00827.x
PubMed ID: 19691799
Rights: © 2009 Japan Gastroenterological Endoscopy Society / The definitive version is available at www.blackwell-synergy.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/22899

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