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A rare case of advanced esophageal adenocarcinoma with exceedingly long-segment Barrett's esophagus

机译:罕见的晚期食管腺癌伴长段巴雷特食管

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摘要

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's esophagus (LSBE) between 25 and 40 cm from the incisors was diagnosed. Subtotal esopha-gectomy 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's esophagus is high, but in Japan, the incidence is very low. In Japan, the incidence of short-segment Barrett's esophagus is high, but that of LSBE is very low. We herein report esophageal adenocarcinoma in an exceedingly long LSBE of 15 cm.
机译:一名71岁男性患者因吞咽困难入院。上消化道内窥镜检查显示距切牙26至36 cm处有严重狭窄,从狭窄病变处取的活检标本显示分化良好的腺癌。诊断为距门齿25至40厘米之间的长段巴雷特食管(LSBE)。进行了部分右胸食管切除术。 7个月后可见胸膜肿瘤扩散,并接受化学疗法治疗。然而,该患者术后14个月死亡。在西方国家,巴雷特食管中腺癌的发病率很高,但在日本,其发病率很低。在日本,短节段的巴雷特食管的发生率很高,但是低水平的BEBE的发生率很低。我们在此报告食管腺癌的超长LSBE为15 cm。

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