Year 2023 / Volume 115 / Number 7
Digestive Diseases Image
High-grade intraepithelial neoplasia of the cervical esophagus arising from a tiny ectopic gastric mucosa

389-390

DOI: 10.17235/reed.2022.9007/2022

Yiming Xing, Yimin Ma, Zhenguo Qiao,

Abstract
A 77-year-old male underwent gastroscopy in our institution. Conventional endoscopic examination revealed two ectopic gastric mucosas (EGMs) located about 17cm from the incisors. One of the EGMs was about 0.6cm in size and was round with a flat surface and a slight uplift in the center. The boundary of the uplift was clear and the villous structure disappeared. Narrow Band Imaging (NBI) showed irregular microvessels with a fine network pattern at the uplift, and there appeared to be small and punctate crypt opening (CO) in the glandular ducts. Then we performed acetic acid staining and found that the lesion showed dense and small CO clearly, suggesting differentiated gastric cancer. Histopathologic diagnosis of the biopsy specimen from the lesion was high-grade intraepithelial neoplasia.
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References
1. Yoshida T, Shimizu Y, Kato M. Use of magnifying endoscopy to identify early esophageal adenocarcinoma in ectopic gastric mucosa of the cervical esophagus. Clin Gastroenterol Hepatol. 2010; 8(9): e91-93. DOI: 10.1016/j.cgh.2010.02.025
2. Jabbari M, Goresky CA, Lough J, et al. The inlet patch: heterotopic gastric mucosa in the upper esophagus. Gastroenterology. 1985; 89(2): 352-356. DOI: 10.1016/0016-5085(85)90336-1
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Xing Y, Ma Y, Qiao Z. High-grade intraepithelial neoplasia of the cervical esophagus arising from a tiny ectopic gastric mucosa . 9007/2022


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Publication history

Received: 14/06/2022

Accepted: 19/06/2022

Online First: 24/06/2022

Published: 06/07/2023

Article Online First time: 10 days

Article editing time: 387 days


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