Abstract
We reported a case of endoscopicaly resected early carcinoma in the Barrett's esophagus.A 72-year-Old man complaing of epigastralgia visited to our hospital. Endoscopic examinationshowed O'-Ila+Ilc type flat elevated lesion about 15mm in diameter at the esophago-gastricjunction. Biopsy specimens revealed tubular adenocarcinoma. Moreover, endoscopic pictureshowed Barrett's'Esophagus of which size was less than 3.0cm in width. Therefore, weconsidered that the lesion was esophageal adenocarcinoma arised from the short segmentBarrett's Esophagus. We performed endoscopic mucosal reSection. Pathological findingsshowed that it was early adenocarcinoma (well differentiated tubular adenocarcinoma) originat-ed from Barrett's esophagus and it was limited in the mucosal layer. Cases of endoscopicaly resected early Barrett carcinoma had been rarely reported in Japan, because most of the esophageal cancers were squamous cell carcinomas. Barrett's esophagusand Barrett's carcinoma are popular in Western countries. Westernization of diet and life styleamong Japanese people would have increased the incidence of Barrett's esophagus and Barrett'scarcmoma.
