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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
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Please use this identifier to cite or link to this item:
http://hdl.handle.net/10069/22899
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