TY - JOUR
T1 - Recurrence of intramucosal esophageal adenocarcinoma arising in a former esophagostomy site
T2 - A unique case report
AU - Leers, J. M.
AU - Demeester, Steven R.
AU - Ayazi, S.
AU - Tang, A. L.
AU - Peyre, C. G.
AU - Lipham, J. C.
AU - Hagen, J. A.
AU - Demeester, T. R.
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
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U2 - 10.1111/j.1442-2050.2008.00880.x
DO - 10.1111/j.1442-2050.2008.00880.x
M3 - Article
C2 - 19021685
AN - SCOPUS:69249121690
SN - 1120-8694
VL - 22
SP - E17-E20
JO - Diseases of the Esophagus
JF - Diseases of the Esophagus
IS - 6
ER -