Recurrence of intramucosal esophageal adenocarcinoma arising in a former esophagostomy site: A unique case report

J. M. Leers, Steven R. Demeester, S. Ayazi, A. L. Tang, C. G. Peyre, J. C. Lipham, J. A. Hagen, T. R. Demeester

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A 75-year-old male with a long history of gastroesophageal reflux symptoms developed adenocarcinoma proximally within a long segment of Barrett's esophagus. He was taken for esophagectomy and gastric pull-up, but intraoperatively, he was found to have a marginal blood supply in the gastric tube. A temporary left-sided esophagostomy was created with the gastric tube sutured to the left sternocleidomastoid muscle in the neck. Pathology showed an intramucosal adenocarcinoma, limited to the muscularis mucosa with surrounding high-grade dysplasia and intestinal metaplasia. The proximal esophageal margin showed no tumor cells, but there was low-grade dysplasia within Barrett's esophagus. He was reconstructed after several months, and 2 years after reconstruction, the patient noticed a nodule at the former esophagostomy site. Biopsy revealed an implant metastasis of esophageal adenocarcinoma. Here, we review the literature and discuss the possible etiology.

Original languageEnglish (US)
Pages (from-to)E17-E20
JournalDiseases of the Esophagus
Volume22
Issue number6
DOIs
StatePublished - Aug 31 2009
Externally publishedYes

ASJC Scopus subject areas

  • Gastroenterology

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    Leers, J. M., Demeester, S. R., Ayazi, S., Tang, A. L., Peyre, C. G., Lipham, J. C., Hagen, J. A., & Demeester, T. R. (2009). Recurrence of intramucosal esophageal adenocarcinoma arising in a former esophagostomy site: A unique case report. Diseases of the Esophagus, 22(6), E17-E20. https://doi.org/10.1111/j.1442-2050.2008.00880.x