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Primary adenocarcinoma of the esophagus arising in a columnar-lined esophagus

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The American Journal of Digestive Diseases Aims and scope Submit manuscript

Summary

A patient presenting with dysphagia and weight loss was found to have a large midesophageal mass. Five biopsies indicated only adenoma but a brush cytology specimen under direct vision was diagnostic of adenocarcinoma. Esophagotomy and resection of tumor with follow-up radiotherapy were performed; histologic examination confirmed the diagnosis. To date, there has been no recurrence of the tumor. This patient was subsequently found to have a columnar-lined esophagus. Since columnar-lined esophagus may predispose to malignancy, this case illustrates the diagnostic importance of direct-vision cytology in patients with columnar-lined esophagus.

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Authors and Affiliations

  1. Gastroenterology Section, Tucson Medical Center, 2122 North Craycroft Road, Suite 2G, 85712, Tucson, Arizona

    Alfred E. Stillman MD & Jeffrey I. Selwyn MD

  2. the Department of Internal Medicine, Tucson Hospital Medical Education, 2122 North Craycroft Road, Suite 2G, 85712, Tucson, Arizona

    Alfred E. Stillman MD & Jeffrey I. Selwyn MD

Authors
  1. Alfred E. Stillman MD
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  2. Jeffrey I. Selwyn MD
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Stillman, A.E., Selwyn, J.I. Primary adenocarcinoma of the esophagus arising in a columnar-lined esophagus. Digest Dis Sci 20, 577–582 (1975). https://doi.org/10.1007/BF01074941

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  • DOI: https://doi.org/10.1007/BF01074941

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