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. 1973 Jul;28(4):511–514. doi: 10.1136/thx.28.4.511

Adenocarcinoma in the columnar epithelial lined lower (Barrett) oesophagus

Anthony Hawe 1, W Spencer Payne 1, Louis H Weiland 1, Robert S Fontana 1
PMCID: PMC470068  PMID: 4741456

Abstract

Hawe, A., Payne, W. S., Weiland, L. H., and Fontana, R. S. (1973).Thorax, 28, 511-514. Adenocarcinoma in the columnar epithelial lined lower (Barrett) oesophagus. At the Mayo Clinic, five patients with Barrett oesophagus developed adenocarcinoma of the oesophagus at sites cephalad from the anatomic cardia but separated from it by a definite segment of columnar lined oesophagus. Twelve similar cases have been reported in the literature, including one from this institution. Of 85 Mayo Clinic patients in whom a clinical diagnosis of benign Barrett oesophagus was made in the 20-year period 1950-69, two subsequently developed oesophageal cancer. Since its description in 1950 by Barrett, the columnar epithelial lined lower oesophagus has been encountered with increasing frequency. The full clinical implications of this unusual condition are only partially appreciated at this time, and the present report, as well as previous ones, suggest that the condition may be premalignant.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ADLER R. H. The lower esophagus lined by columnar epithelium. Its association with hiatal hernia, ulcer, stricture, and tumor. J Thorac Cardiovasc Surg. 1963 Jan;45:13–34. [PubMed] [Google Scholar]
  2. ALLISON P. R., JOHNSTONE A. S. The oesophagus lined with gastric mucous membrane. Thorax. 1953 Jun;8(2):87–101. doi: 10.1136/thx.8.2.87. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. ARMSTRONG R. A., CARRERA G. M., BLALOCK J. B. Adenocarcinoma of the middle third of the esophagus arising from ectopic gastric mucosa. J Thorac Surg. 1959 Mar;37(3):398–403. [PubMed] [Google Scholar]
  4. BARRETT N. R. Chronic peptic ulcer of the oesophagus and 'oesophagitis'. Br J Surg. 1950 Oct;38(150):175–182. doi: 10.1002/bjs.18003815005. [DOI] [PubMed] [Google Scholar]
  5. Burgess J. N., Payne W. S., Andersen H. A., Weiland L. H., Carlson H. C. Barrett esophagus: the columnar-epithelial-lined lower esophagus. Mayo Clin Proc. 1971 Nov;46(11):728–734. [PubMed] [Google Scholar]
  6. Burns W. A., Flores P. A., Moshyedi A., Albacete R. A. Clinical conditions associated with columnar lined esophagus. Am J Dig Dis. 1970 Jul;15(7):607–615. doi: 10.1007/BF02236016. [DOI] [PubMed] [Google Scholar]
  7. Grimes O. F., Zboralske F. F. Carcinoma in association with hiatal hernia. J Thorac Cardiovasc Surg. 1968 Jan;55(1):30–41. [PubMed] [Google Scholar]
  8. MCCORKLE R. G., BLADES B. Adenocarcinoma of the esophagus arising in aberrant gastric mucosa. Am Surg. 1955 Aug;21(8):781–785. [PubMed] [Google Scholar]
  9. MORSON B. C., BELCHER J. R. Adenocarcinoma of the oesophagus and ectopic gastric mucosa. Br J Cancer. 1952 Jun;6(2):127–130. doi: 10.1038/bjc.1952.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Michel J. O., Olsen A. M., Dockerty M. B. The association of diaphragmatic hiatal hernia and gastroesophageal carcinoma. Surg Gynecol Obstet. 1967 Mar;124(3):583–589. [PubMed] [Google Scholar]
  11. Raphael H. A., Ellis F. H., Jr, Dockerty M. B. Primary adenocarcinoma of the esophagus: 18-year review and review of literature. Ann Surg. 1966 Nov;164(5):785–796. doi: 10.1097/00000658-196611000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. SMITHERS D. W. Adenocarcinoma of the oesophagus. Thorax. 1956 Dec;11(4):257–267. doi: 10.1136/thx.11.4.257. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Shafer R. B. Adenocarcinoma in Barrett's columnar-lined esophagus. Arch Surg. 1971 Sep;103(3):411–413. doi: 10.1001/archsurg.1971.01350090093021. [DOI] [PubMed] [Google Scholar]
  14. THOMAS J. V., HAY L. J. Adenocarcinoma of the esophagus; report of a case of glandular metaplasia of the esophageal mucosa. Surgery. 1954 Apr;35(4):635–639. [PubMed] [Google Scholar]
  15. Tamura H., Schulman S. A. Barrett--type esophagus associated with squamous carcinoma. Chest. 1971 Mar;59(3):330–333. doi: 10.1378/chest.59.3.330. [DOI] [PubMed] [Google Scholar]

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