A Case of Early Barrett's Adenocarcinoma With Eosinophilic Esophagitis

Author:

Sumi Naoki1,Haruma Ken23,Hisamoto Nobumi4,Inoue Kazuhiko3,Mabe Katsuhiro5,Manabe Noriaki6,Kawahara Yoshiro7,Okada Hiroyuki8,Takao Toshihiro1

Affiliation:

1. Department of Health Care Medicine, Kawasaki Medical School, Kurashiki, Japan

2. Department of General Internal Medicine 2, Kawasaki Medical School, Kurashiki, Japan

3. Junpukai Health Maintenance Center, Okayama, Japan

4. Junpukai Long Life Hospital, Okayama, Japan

5. Junpukai Health Maintenance Center-Kurashiki, Kurashiki, Japan

6. Department of Endoscopy and Ultrasound, Kawasaki Medical School, Kurashiki, Japan

7. Department of Practical Gastrointestinal Endoscopy, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan

8. Department of Internal Medicine, Himeji Red Cross Hospital, Himeji, Japan

Abstract

ABSTRACT A 61-year-old man presented with epigastric pain and underwent upper gastrointestinal endoscopy. A strongly erythematous area was found in the short segment of the Barrett's esophagus, and a biopsy revealed well-differentiated adenocarcinoma. Linear furrows were observed in the lower esophagus, and a biopsy of the lesion revealed eosinophil infiltration of 30 eosinophils per high-power field. Therefore, a diagnosis of Barrett's adenocarcinoma with eosinophilic esophagitis was made. Although rare, the incidence of Barrett's adenocarcinoma and eosinophilic esophagitis has been increasing in Japan in recent years, and the number of cases may increase in the future.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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