Second primary Barrett’s adenocarcinoma after 19 years

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Presentation transcript:

Second primary Barrett’s adenocarcinoma after 19 years Michael Riben, MD, Riivo Ilves, MD, Barbara J McKenna, MD The Annals of Thoracic Surgery Volume 67, Issue 6, Pages 1796-1798 (June 1999) DOI: 10.1016/S0003-4975(99)00344-6

Fig 1 (A) The first Barrett’s-associated adenocarcinoma was composed of acinar arrangements of fairly uniform polygonal cells. (B) The second esophageal adenocarcinoma differed from the first in that the malignant cells were more polymorphic and had infiltrated the muscular wall in a diffuse fashion. (Hematoxylin and eosin; ×200 before % reduction.) The Annals of Thoracic Surgery 1999 67, 1796-1798DOI: (10.1016/S0003-4975(99)00344-6)

Fig 2 Computed tomographic scan of the chest made when the patient was seen a second time with new symptoms of dysphagia showed circumferential marked thickening of the esophageal wall (arrow). The Annals of Thoracic Surgery 1999 67, 1796-1798DOI: (10.1016/S0003-4975(99)00344-6)