雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Superficial Barrett's Esophageal Carcinoma in SSBE, Which was pT1b-SM2 in Invasion Depth, Report of a Case Manabu Takeuchi 1 , Masaaki Kobayashi 2 , Gen Watanabe 3 , Yukari Tanaka 1 , Hiromichi Takahashi 1 , Satoru Hashimoto 1 , Masahiko Yano 1 , Yuichi Sato 1 , Shogo Okoshi 1 , Rintaro Narisawa 2 , Yoichi Ajioka 3 , Yutaka Aoyagi 1 1Department of Gastroenterology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan 2Department of Endoscopy, Niigata University Medical and Dental Hospital, Niigata, Japan 3Division of Molecular and Diagnostic Pathology, Niigata University, Graduate School of Medical and Dental Sciences, Niigata, Japan Keyword: Barrett粘膜・食道 , Barrett食道癌 , NBI , 酢酸 , ESD pp.799-807
Published Date 2011/5/24
DOI https://doi.org/10.11477/mf.1403102242
  • Abstract
  • Look Inside
  • Reference
  • Cited by

 A male in his eighties undergoing conventional esophagoscopy due to epigastric discomfort was shown to have a reddish protruded lesion on the right wall of the SCJ(squamo-columnar junction). The background mucosa of the tumor was diagnosed as short segment Barrett's esophagus by recognizing the lower end of palisade longitudinal vessels in the columnar-lined esophagus. Magnifying endoscopy with NBI(narrow band imaging)for the middle part of the tumor revealed the absence of surface pattern with irregular microvascular pattern(tortuous/bizarrely shaped without a network/irregular distribution and arrangement). EUS(endoscopic ultrasonography, 20MHz)showed a hypoechoic mass lesion deeply invading the submucosal layer. The oral flat part and the anal depressed part of the tumor revealed fine network pattern with high density of pit and irregular microvascular pattern(tortuous/caliber change/heterogeneity in shape), respectively. Because there was neither lymph node nor distant metastasis found on CT examination and because of the patient's high age, we performed ESD(endoscopic submucosal dissection)for the lesion in en-bloc fashion. Histopathologically, the tumor was diagnosed as 0-“Is”+IIb+IIc, an esophageal adenocarcinoma(tub1, tub2>por2)in SSBE, ly0, v0, pSM2, pHM0, pVM0, with tumor size being 26×14×2 mm. Contrasting endoscopic findings and histopathological findings, both of them resulted in approximately the same diagnosis of delineation and depth of invasion, so it is useful to observe magnifying endoscopy with NBI or acetic acid and EUS for diagnosis of Barrett's carcinoma.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有