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

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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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)
JournalDiseases of the Esophagus
Volume22
Issue number6
DOIs
StatePublished - 2009
Externally publishedYes

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Esophagostomy
Stomach
Adenocarcinoma
Barrett Esophagus
Recurrence
Neck Muscles
Esophagectomy
Metaplasia
Gastroesophageal Reflux
Mucous Membrane
Pathology
Neoplasm Metastasis
Biopsy
Neoplasms

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Recurrence of intramucosal esophageal adenocarcinoma arising in a former esophagostomy site : A unique case report. / Leers, J. M.; Demeester, Steven R.; Ayazi, S.; Tang, Andrew -; Peyre, C. G.; Lipham, J. C.; Hagen, J. A.; Demeester, T. R.

In: Diseases of the Esophagus, Vol. 22, No. 6, 2009.

Research output: Contribution to journalArticle

Leers, J. M. ; Demeester, Steven R. ; Ayazi, S. ; Tang, Andrew - ; Peyre, C. G. ; Lipham, J. C. ; Hagen, J. A. ; Demeester, T. R. / Recurrence of intramucosal esophageal adenocarcinoma arising in a former esophagostomy site : A unique case report. In: Diseases of the Esophagus. 2009 ; Vol. 22, No. 6.
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