Management of oesophageal intramucosal carcinoma

We present an interesting case of an intramucosal carcinoma (IMC) in the setting of Barrett’s oesophagus in a 66-year-old woman. Her clinical course highlights the shifting paradigm in the approach to management of Barrett’s oesophagus and IMC. With innovation in imaging and endoscopic treatment mod...

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Bibliographic Details
Published in:BMJ case reports 2018-09, Vol.2018, p.bcr-2018-224893
Main Authors: Ashrafi, Darius, Memon, Breda, Memon, Muhammed Ashraf
Format: Article
Language:English
Subjects:
Aged
Barrett Esophagus - complications
Barrett Esophagus - pathology
Cancer therapies
Case reports
Classification
Diagnosis, Differential
Endoscopic Mucosal Resection - methods
Endoscopy
Endoscopy, Gastrointestinal - methods
Esophageal cancer
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagogastric Junction - diagnostic imaging
Esophagogastric Junction - pathology
Family medical history
Female
Gastric cancer
Gastroenterology
Health surveillance
Hernias
Histology
Humans
Incidental Findings
Lymphatic system
Medical prognosis
Metastasis
Morbidity
Mortality
Novel Treatment (New Drug/Intervention
Established Drug/Procedure in New Situation)
Photodynamic therapy
Treatment Outcome
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Description
Summary:We present an interesting case of an intramucosal carcinoma (IMC) in the setting of Barrett’s oesophagus in a 66-year-old woman. Her clinical course highlights the shifting paradigm in the approach to management of Barrett’s oesophagus and IMC. With innovation in imaging and endoscopic treatment modalities, patients are detected earlier and managed prior to development of malignancy. The patient was treated with endoscopic modalities, and after 3 years’ follow-up, she remains recurrence free.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-224893