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Early esophageal cancer.

M S Levine, E C Dillon, S H Saul

    AJR. American Journal of Roentgenology
    |March 1, 1986
    PubMed
    Summary

    Early esophageal cancer (EEC) can present as large masses, often adenocarcinoma in Barrett esophagus. Radiologists must recognize these findings for timely diagnosis and excellent prognosis.

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    Area of Science:

    • Gastroenterology
    • Oncology
    • Radiology

    Background:

    • Early esophageal cancer (EEC) is rare, representing 4.7% of esophageal cancers.
    • EEC cases included squamous cell carcinoma and adenocarcinoma.
    • Associated symptoms included gastrointestinal bleeding, odynophagia, and reflux.

    Purpose of the Study:

    • To describe the clinical and radiologic findings of early esophageal cancer.
    • To highlight the importance of recognizing EEC in patients with Barrett esophagus.
    • To inform radiologists about the varied presentation of EEC.

    Main Methods:

    • Retrospective review of 148 esophageal cancer cases diagnosed between 1977 and 1984.
    • Analysis of clinical findings and esophagography results for seven EEC cases.
    • Histological classification of esophageal cancers.

    Main Results:

    • Seven cases of EEC were identified, with five being adenocarcinoma in Barrett mucosa.
    • Radiographic findings varied, including large polypoid masses and signs of secondary achalasia.
    • EEC tumors can exhibit significant intraluminal or intramural growth.

    Conclusions:

    • Early esophageal cancer is not always small and can present with diverse radiologic findings.
    • Barrett esophagus is a risk factor for adenocarcinoma, necessitating thorough evaluation.
    • Awareness of EEC presentation is crucial for radiologists to ensure timely diagnosis and improve patient outcomes, given the high survival rate.

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