Recurrence of intramucosal esophageal adenocarcinoma arising in a former esophagostomy site: a unique case report.
Dis Esophagus
; 22(6): E17-20, 2009.
Article
em En
| MEDLINE
| ID: mdl-19021685
ABSTRACT
A 75-year-old male with a long history of gastroesophageal reflux symptoms developed adenocarcinoma proximally within a long segment of Barrett's esophagus. He was taken for esophagectomy and gastric pull-up, but intraoperatively, he was found to have a marginal blood supply in the gastric tube. A temporary left-sided esophagostomy was created with the gastric tube sutured to the left sternocleidomastoid muscle in the neck. Pathology showed an intramucosal adenocarcinoma, limited to the muscularis mucosa with surrounding high-grade dysplasia and intestinal metaplasia. The proximal esophageal margin showed no tumor cells, but there was low-grade dysplasia within Barrett's esophagus. He was reconstructed after several months, and 2 years after reconstruction, the patient noticed a nodule at the former esophagostomy site. Biopsy revealed an implant metastasis of esophageal adenocarcinoma. Here, we review the literature and discuss the possible etiology.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Esofágicas
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Esofagostomia
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Adenocarcinoma
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Recidiva Local de Neoplasia
Limite:
Aged
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Humans
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Male
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article