Long Barrett's esophagus with early (multiple) cancer and high-grade dysplasia endoscopically resected: a case report and review of the literature
DOI:
https://doi.org/10.61155/2023.77.2.005Keywords:
Barrett, esophagus, adenocarcinoma, dysplasiaAbstract
The incidence of adenocarcinoma (ADC) in patients with Barrett's esophagus (BE) is 0.3-0.6% patients/year, where said risk depends on the degree of dysplasia, being 7% in high-grade dysplasia. The present case consists of a 49-year-old male patient, with a history of long-legged Barrett's esophagus with high grade dysplasia, treated by endoscopic mucosal resection (EMR) with banding. He remains under rigorous follow-up, evidencing 3 years later, a tab in the distal esophagus, which underwent endoscopic treatment and was pathologically reported as a well-differentiated tubular adenocarcinoma with free margins; After 1 year, we observed a new lesion, flat and hyperemic, resected in the same way and reported as a well-differentiated adenocarcinoma with free margins. It remains under follow-up to date, with no new findings.
Downloads
References
Patel V, Burbridge RA. Endoscopic approaches for early-stage esophageal cancer: current options. Curr Oncol Rep. 2015;17(1):421.
Barret M, Prat F. Diagnosis and treatment of superficial esophageal cancer. Ann Gastroenterol. 2018;31(3):256-265.
Kim JA, Shah PM. Screening and prevention strategies and endoscopic management of early esophageal cancer. Chin Clin Oncol. 2017;6(5):50.
Ishihara R, Arima M, Iizuka T, Oyama T, Katada C, Kato M, Goda K, Goto O, Tanaka K, Yano T, Yoshinaga S, Muto M, Kawakubo H, Fujishiro M, Yoshida M, Fujimoto K, Tajiri H, Inoue H; Japan Gastroenterological Endoscopy Society Guidelines Committee of ESD/EMR for Esophageal Cancer. Endoscopic submucosal dissection/endoscopic mucosal resection guidelines for esophageal cancer. Dig Endosc. 2020;32(4):452-493.
Ahmed O, Ajani JA, Lee JH. Endoscopic management of esophageal cancer. World J Gastrointest Oncol. 2019;11(10):830-841
Mocanu A, Bârla R, Hoara P, Constantinoiu S. Current endoscopic methods of radical therapy in early esophageal cancer. J Med Life. 2015;8(2):150-6
Naveed M, Kubiliun N. Endoscopic Treatment of Early-Stage Esophageal Cancer. Curr Oncol Rep. 2018;20(9):71.
Malik S, Sharma G, Sanaka MR, Thota PN. Role of endoscopic therapy in early esophageal cancer. World J Gastroenterol. 2018;24(35):3965-3973.
Sanghi V, Amin H, Sanaka MR, Thota PN. Resection of early esophageal neoplasms: The pendulum swings from surgical to endoscopic management. World J Gastrointest Endosc. 2019;11(10):491-503.
Singh T, Sanaka MR, Thota PN. Endoscopic therapy for Barrett's esophagus and early esophageal cancer: Where do we go from here? World J Gastrointest Endosc. 2018;10(9):165-174
Shaheen NJ. ENDOSCOPIC TREATMENT OF ESOPHAGEAL NEOPLASIA: A DECADE OF EVOLUTION. Trans Am Clin Climatol Assoc. 2020; 131:297-314.
Leggett CL, Gorospe EC, Wang KK. Endoscopic therapy for Barrett's esophagus and early esophageal adenocarcinoma. Gastroenterol Clin North Am. 2013;42(1):175-85.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Authors
This work is licensed under a Creative Commons Attribution 4.0 International License.
Usted es libre de:
- Compartir — copiar y redistribuir el material en cualquier medio o formato
- Adaptar — remezclar, transformar y construir a partir del material
- para cualquier propósito, incluso comercialmente.
Bajo los siguientes términos:
-
Atribución — Usted debe dar crédito de manera adecuada, brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
- No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
