A case of Barrett’s esophageal adenocarcinoma in young adult

Abstract

A 27-year-old man undergoing conventional esophagogastroduodenoscopy due to epigastric discomfort was discovered to have a reddish protruded lesion on the right wall at the esophagogastric junction (EGJ) . The background mucosa of the tumor was diagnosed as short segment Barrett’s esophagus (SSBE) . Using magnifying endoscopy with narrow band imaging (NBI) , the tumor was shown to have an absence of surface pattern and an irregular microvascular pattern. The tumor was diagnosed as Barrett’s esophageal adenocarcinoma in SSBE, and endoscopic submucosal dissection (ESD) was performed. Pathological analysis of the resected specimen diagnosed 0-IIa+IIc, Barrett’s esophageal adenocarcinoma tub1>tub2, pT1b (SM2) , ly0, v1, pHM0, pVM0, pR0, with a tumor size of 27×15 mm. Barrett’s esophageal adenocarcinoma in younger patients is rare and this case raises the possibility of a new clinical presentation of the condition.