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Literature of Early Esophageal Cancer File size: 1030.34 Kb
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PDF File Early Esophageal Cancer . (4.7%) of 148 cases of esophageal cancer diagnosed at the authors’ hospital … conclude that “early” esophageal cancers are not necessarily small cancers, …
Early esophageal cancer (EEC) accounted for only seven (4.7%) of 148 cases of esophageal cancer diagnosed at the authors’ hospital between 1977 and 1984. Two patients with EEC had squamous cell carcinoma and five had adenocarcinoma arising in Barrett’s mucosa. All seven patients had associated clinical findings, including lowgrade gastrointestinal bleeding (three cases), odynophagia (one case), and chronic reflux symptoms due to underlying reflux esophagitis and Barrett esophagus (three cases). Since Barrett esophagus is a premalignant condition, the high proportion of adenocarcinomas in this series presumably reflects the more frequent radiologic evaluation of symptomatic patients with Barrett esophagus. On esophagography, four patients had 3-4.5-cm polypoid intraluminal masses that could not be distinguished radiographically from advanced esophageal carcinoma. In the other three patients, esophagrams revealed secondary achalasia, irregular flattening





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