caa a22 4500 60620458X CHVBK 20210128101003.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10388-014-0479-8 doi (NATIONALLICENCE)springer-10.1007/s10388-014-0479-8 A case of Barrett's Esophageal Adenocarcinoma associated with heterotopic pancreas [Elektronische Daten] [Tatsushi Inoue, Shinichi Yachida, Hirotaka Kashiwagi, Tsuyosi Otani, Ken Ishimura, Yoshio Kushida, Keiichi Okano, Hisashi Usuki, Hisao Wakabayashi, Yasuyuki Suzuki] 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 5years 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. The Japan Esophageal Society and Springer Japan, 2014 Barrett's esophagus nationallicence Esophageal adenocarcinoma nationallicence Heterotopic pancreas nationallicence Inoue Tatsushi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut Yachida Shinichi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut Kashiwagi Hirotaka Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut Otani Tsuyosi Department of Surgery, Kagawaken-Saiseikai Hospital, Kagawa, Japan aut Ishimura Ken Department of Surgery, Kagawaken-Saiseikai Hospital, Kagawa, Japan aut Kushida Yoshio Department of Diagnostic Pathology, Faculty of Medicine, Kagawa University, Kagawa, Japan aut Okano Keiichi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut Usuki Hisashi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut Wakabayashi Hisao Department of Surgery, Kagawaken-Saiseikai Hospital, Kagawa, Japan aut Suzuki Yasuyuki Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut Esophagus Springer Japan 12/4(2015-10-01), 392-397 1612-9059 12:4<392 2015 12 10388 https://doi.org/10.1007/s10388-014-0479-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10388-014-0479-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inoue Tatsushi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut NATIONALLICENCE 700 1- Yachida Shinichi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut NATIONALLICENCE 700 1- Kashiwagi Hirotaka Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut NATIONALLICENCE 700 1- Otani Tsuyosi Department of Surgery, Kagawaken-Saiseikai Hospital, Kagawa, Japan aut NATIONALLICENCE 700 1- Ishimura Ken Department of Surgery, Kagawaken-Saiseikai Hospital, Kagawa, Japan aut NATIONALLICENCE 700 1- Kushida Yoshio Department of Diagnostic Pathology, Faculty of Medicine, Kagawa University, Kagawa, Japan aut NATIONALLICENCE 700 1- Okano Keiichi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut NATIONALLICENCE 700 1- Usuki Hisashi Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut NATIONALLICENCE 700 1- Wakabayashi Hisao Department of Surgery, Kagawaken-Saiseikai Hospital, Kagawa, Japan aut NATIONALLICENCE 700 1- Suzuki Yasuyuki Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan aut NATIONALLICENCE 773 0- Esophagus Springer Japan 12/4(2015-10-01), 392-397 1612-9059 12:4<392 2015 12 10388