RESUMO
A 62-year-old woman presented with an episode of upper gastrointestinal bleeding. Upper endoscopy revealed white exudates at the middle and lower third of the esophagus. Biopsies proved epidermoid metaplasia of the esophagus with low-grade dysplasia. We discuss the risk factors, preneoplastic potential and available treatments of this entity.
Assuntos
Esôfago de Barrett , Doenças do Esôfago , Neoplasias Esofágicas , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Esofágicas/patologia , Doenças do Esôfago/diagnóstico por imagem , Doenças do Esôfago/patologia , Metaplasia , Biópsia , Esôfago de Barrett/patologiaRESUMO
A 43-year-old female presented to our department with hemoglobin of 3.4 g/dl. She denied gastrointestinal bleeding or weight loss. An upper endoscopy revealed an ulcerative lesion on the greater curvature of the gastric body with two visible clots. Two hemoclips were needed to attain hemostasis, as one of the biopsies of the tumor caused active spurting bleeding. An abdominal computed tomography (CT) demonstrated a well-circumscribed intramural mass arising in the gastric wall, measuring 65 x 50 x 90 mm, with marked internal vascularity and extraluminal component associated. The biopsies identified areas of mature and immature plasmocytes.