一个早期巴雷特腺癌病例与异性食道炎
Naoki Sumi1, Ken Haruma2,3, Nobumi Hisamoto4
1Department of Health Care Medicine, Kawasaki Medical School, Kurashiki, Japan.
ACG case reports journal
|October 20, 2023
概括
本病例报告详细介绍了一种罕见的巴雷特腺癌诊断,该腺癌同时发生在异性食道炎中. 这两种情况在日本越来越多地被报告,这表明类似病例的潜在增加.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 巴雷特食道是已知的食道腺癌的前体.
- 酸性食道炎是一种免疫介导的食道疾病.
- 这两种情况的同时发生是不常见的,但越来越多地被认可.
研究的目的:
- 报告一个同时患有巴雷特腺癌和乙性食道炎的病例.
- 为了强调日本日益增长的这些疾病的发病率.
主要方法:
- 上部胃肠道内镜与活检.
- 肠道组织病理学检查食道组织.
- 鉴定腺癌和埃索诺菲尔透.
主要成果:
- 在巴雷特食道的一个段落中诊断出明显分化的腺癌.
- 在食道下部的乳酸菌透 (30个乳酸菌/高功率场).
- 同时诊断了巴雷特腺癌和酸性食道炎.
结论:
- 巴雷特腺癌和酸性食道炎可以同时存在.
- 在日本,这两种疾病的发病率都在上升.
- 在临床实践中,对这两种诊断都需要提高警.
相关概念视频
Barrett Esophagus-II: Clinical Manifestations and Management
168
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...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
168
Barrett Esophagus-I: Introduction
104
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...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
104
Esophageal Strictures-I: Introduction
112
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...
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...
112
Esophageal Strictures-II: Clinical Features and Management
78
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
78
Gastroesophageal Reflux Disease II: Clinical Features and Management
93
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
93
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
138
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
138


