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Related Concept Videos

Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

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Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
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Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Skin Cancer01:30

Skin Cancer

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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Related Experiment Video

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Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
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Esophageal Melanocytosis.

Samikshya Thapa1, Gajendra Kumar Yadav1, Ratna Mondal1

  • 1All India Institute of Medical Sciences, Department of Pathology & Laboratory Medicine, Rishikesh, Uttarakhand, India.

Autopsy & Case Reports
|May 28, 2024
PubMed
Summary

Esophageal melanocytosis, a rare condition involving melanin in the esophagus, was diagnosed in a patient with dizziness. Histological analysis confirmed the benign entity, differentiating it from melanoma.

Keywords:
Endoscopy, GastrointestinalEsophageal MucosaEsophagusGastroesophageal RefluxMelanins

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Area of Science:

  • Gastroenterology
  • Oncology
  • Dermatology

Background:

  • Esophageal melanocytosis is a rare condition characterized by melanocyte proliferation and melanin deposition in the esophageal mucosa.
  • While generally benign, it has been associated with melanoma, necessitating careful diagnosis.
  • The exact etiology remains unknown.

Purpose of the Study:

  • To report a case of esophageal melanocytosis in a patient presenting with dizziness and syncope.
  • To highlight the diagnostic process and histological considerations for esophageal melanocytosis.

Main Methods:

  • A 67-year-old male with diabetes and hypertension presented with recurrent dizziness and syncope.
  • Upper gastrointestinal endoscopy was performed due to dyspepsia.
  • Esophageal biopsy was obtained for histological examination.

Main Results:

  • Histological analysis of the esophageal biopsy confirmed the diagnosis of esophageal melanocytosis.
  • The patient's symptoms of dizziness and syncope were investigated in the context of this finding.

Conclusions:

  • Esophageal melanocytosis can present with non-specific symptoms like dizziness and syncope.
  • Definitive diagnosis relies on histological analysis, crucial for differentiating from melanocytic nevi and malignant melanoma.