Curative Resection of T1a Inlet Patch Adenocarcinoma With Traction-Assisted Endoscopic Submucosal Dissection

Author:

Bahdi Firas1ORCID,Tamai Robert1,Lu David Y.2,Eshtiaghpour Daniel D.1,Thaker Adarsh M.1,Sedarat Alireza1

Affiliation:

1. Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA

2. Department of Pathology & Laboratory Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA

Abstract

ABSTRACT Esophageal inlet patch (EIP) adenocarcinoma is extremely rare. We present a case of a 58-year-old man who underwent a diagnostic esophagogastroduodenoscopy for dysphagia and found to have a 2 cm polypoid mass arising from an EIP. Biopsies and staging were consistent with T1aN0M0 EIP adenocarcinoma. While surgical resection was the main method of treatment of these lesions, very few case reports have shown that endoscopic resection can successfully remove these lesions. After multidisciplinary discussion, the patient underwent curative traction-assisted endoscopic submucosal dissection—which is the first known case report to highlight the success of this technique.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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4. Endoscopic resection of an adenocarcinoma occurring in ectopic gastric mucosa within the proximal esophagus;Möschler;Endoscopy,2014

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