大小为 3 毫米的小 Barrett 腺癌，在经过 4 年的随访后，在长节段 Barrett 食管中检测到。

Small Barrett's adenocarcinoma, 3 mm in size, in long-segment Barrett's esophagus detected after 4 years of follow up.

机构信息

Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan.

出版信息

Dig Endosc. 2013 May;25 Suppl 2:196-200. doi: 10.1111/den.12110.

Abstract

We herein report a rare case of very small Barrett's adenocarcinoma. A 65-year-old man underwent surveillance esophagogastroduodenoscopy (EGD) 3 years after endoscopic submucosal dissection (ESD) for superficial Barrett's adenocarcinoma, which revealed a very small reddish area in the mucosa, 2 mm in diameter, in long-segment Barrett's esophagus. The EGD carried out 1 year later confirmed slight enlargement of the lesion, from 2 mm to 3 mm in diameter. Macroscopic type changed from flat type to slightly depressed type. On narrow-band imaging with magnifying endoscopy, an irregular microstructure and irregular microvasculature became recognizable. It was resected by ESD and diagnosed as mucosal adenocarcinoma with a diameter of only 3 mm.

摘要

我们在此报告一例非常小的 Barrett 腺癌病例。一名 65 岁男性在接受内镜黏膜下剥离术（ESD）治疗浅表性 Barrett 腺癌 3 年后进行了 surveillance 食管胃十二指肠镜检查（EGD），发现长段 Barrett 食管的黏膜上有一个非常小的直径 2 毫米的红色区域。1 年后进行的 EGD 证实病变略有增大，从直径 2 毫米扩大到 3 毫米。大体类型从平坦型变为轻微凹陷型。在放大内镜窄带成像下，可识别出不规则的微观结构和不规则的微血管。通过 ESD 切除，诊断为直径仅 3 毫米的黏膜腺癌。