UNIQUE APPEARANCE OF ADENOCARCINOMA OF THE ESOPHAGOGASTRIC JUNCTION ASSOCIATED WITH XANTHOMA

  • OKADA Haruhiko
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • SATO Masahiko
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • OZAKI Asako
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • YAMADA Masaki
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • ISHIDO Yasunori
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • SAITO Tetsuya
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • NEGAMI Naoki
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • WATABE Suguru
    Department of Surgery, Saiseikai Kawaguchi General Hospital.
  • BAN Shinichi
    Department of Pathology, Saiseikai Kawaguchi General Hospital.

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Other Title
  • 黄色腫と併存し特異な形態を呈した食道胃接合部腺癌の1例

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Description

A 73-year-old male with colon cancer was referred to our hospital, and gastrointestinal endoscopy for preoperative screening revealed a lesion of around 15mm at the esophagogastric junction with a highly protruding appearance. Xanthoma was diagnosed, and follow-up examination every three to six months showed no evidence of malignancy.<BR>Magnifying endoscopy with narrow band imaging was performed at three-year follow-up, and showed malignant findings of xanthoma using the vessel-surface (VS) classification system. Adenocarcinoma was histologically diagnosed.<BR>Magnifying endoscopy with narrow band imaging is useful for observation of gastric xanthoma with atypical appearance and the possibility of malignant formation.

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