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Esophagus, stomach cancer, esophageal adenocarcinoma, achalasia, barrett esophagus

Julio Rafael Mariano da Rocha, Ulysses Ribeiro, Rubens A A Sallum, Sérgio Szachnowicz, Ivan Cecconello
BACKGROUND: Subtotal esophagectomy and gastric pull-up with cervical anastomosis is the main treatment for advanced achalasia. This surgical technique has been associated to esophagitis and also Barrett's epithelium following esophagectomy. AIM: To analyze late clinical, endoscopic, and pathologic findings in the esophageal stump (ES) mucosa after subtotal esophagectomy in patients treated for advanced chagasic achalasia. METHODS: 101 patients submitted to esophagectomy and cervical gastroplasty were followed-up prospectively for a mean of 10...
October 2008: Annals of Surgical Oncology
Hitoshi Tanigawa, Yoshiki Kida, Sadayoshi Kuwao, Hidenaga Uesugi, Tatsuya Ojima, Nobuyuki Kobayashi, Katsunori Saigenji, Isao Okayasu
We report an unusual hepatoid adenocarcinoma in Barrett's esophagus with achalasia, which developed in a 44-year-old Japanese woman. The patient received an esophago-gastrectomy after diagnosis of the tumor and achalasia at the lower esophagus, 4 months before her death due to multiple metastatic tumors of the liver. The main granular tumor removed surgically was a hepatoid adenocarcinoma, mainly composed of clear cancer cells (alpha-1 antitrypsin, albumin and alpha-fetoprotein positive), with elements of choriocarcinoma and tubular adenocarcinoma...
February 2002: Pathology International
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