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A case of Barrett’s Esophageal Adenocarcinoma associated with heterotopic pancreas

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Abstract

A 56-year-old man was referred to our hospital because of the detection of esophageal adenocarcinoma at a local hospital. Endoscopy showed an elevated lesion in the lower esophagus. We diagnosed this lesion as early esophageal carcinoma and performed video-assisted distal esophagectomy. On microscopic examination, a 6.0-cm irregular elevated lesion with a cavity lesion was identified at the lower esophagus. This lesion corresponded to well- to moderately differentiated adenocarcinoma with invasion to the submucosa. In the cavity lesion, mucosal glands and pancreatic tissue were detected. The surrounding esophageal mucosa showed Barrett’s epithelium with high-grade intraepithelial neoplasia and adenocarcinoma. The lesion was diagnosed as Barrett’s esophageal adenocarcinoma at T1b, N2, M0: Stage II. The patient is alive and well without recurrence 5 years after surgery. Esophageal heterotopic pancreas is a congenital condition that is exceedingly rare. In this case, heterotopic pancreas and its surrounding cavity lesion were considered to have led to the onset of Barrett’s esophagus and its progression to adenocarcinoma.

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Ethical Statement

We conformed to the guidelines set forth in the Helsinki Declaration revised in 2000. We gave consideration to the privacy of the patient, and the manuscript does not include any identifying information. There is no identifying information regarding the patient in this report. The patient gave informed consent for publication of this work.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan

    Tatsushi Inoue, Shinichi Yachida, Hirotaka Kashiwagi, Keiichi Okano, Hisashi Usuki & Yasuyuki Suzuki

  2. Department of Surgery, Kagawaken-Saiseikai Hospital, Kagawa, Japan

    Tatsushi Inoue, Tsuyosi Otani, Ken Ishimura & Hisao Wakabayashi

  3. Department of Diagnostic Pathology, Faculty of Medicine, Kagawa University, Kagawa, Japan

    Yoshio Kushida

Authors
  1. Tatsushi Inoue
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  2. Shinichi Yachida
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  3. Hirotaka Kashiwagi
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  4. Tsuyosi Otani
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  5. Ken Ishimura
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  6. Yoshio Kushida
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  7. Keiichi Okano
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  8. Hisashi Usuki
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  9. Hisao Wakabayashi
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  10. Yasuyuki Suzuki
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Corresponding author

Correspondence to Tatsushi Inoue.

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Inoue, T., Yachida, S., Kashiwagi, H. et al. A case of Barrett’s Esophageal Adenocarcinoma associated with heterotopic pancreas. Esophagus 12, 392–397 (2015). https://doi.org/10.1007/s10388-014-0479-8

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  • DOI: https://doi.org/10.1007/s10388-014-0479-8

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