A rare case of advanced esophageal adenocarcinoma with exceedingly long-segment Barrett%26apos;s esophagus

作者：Chiba Fumihiro^*; Kiyozaki Hirokazu; Saito Masaaki; Takata Osamu; Yamada Shigeki; Konishi Fumio; Rikiyama Toshiki

来源：Esophagus, 2013, 10(4): 252-257.

DOI：10.1007/s10388-013-0386-4

• Barrett%26apos
• s esophagus
• Esophageal cancer
• Adenocarcinoma
• Esophagectomy
• Japan

A 71-year-old male patient was admitted to our hospital with dysphagia. Upper gastrointestinal endoscopy revealed severe stenosis between 26 and 36 cm from the incisors, and biopsy specimens taken from the stenotic lesion showed well-differentiated adenocarcinoma. A long-segment Barrett%26apos;s esophagus (LSBE) between 25 and 40 cm from the incisors was diagnosed. Subtotal esophagectomy with right thoracotomy was performed. Pleural tumor dissemination was seen 7 months later and was treated with chemotherapy. However, the patient died 14 months postoperatively. In Western countries, the incidence of adenocarcinoma in Barrett%26apos;s esophagus is high, but in Japan, the incidence is very low. In Japan, the incidence of short-segment Barrett%26apos;s esophagus is high, but that of LSBE is very low. We herein report esophageal adenocarcinoma in an exceedingly long LSBE of 15 cm.

• 出版日期2013-12