Case of Barrett’s esophageal adenocarcinoma resected by endoscopic submucosal dissection after being detected on positron emission tomography

Abstract

We report the case of an 83-year-old man with localized fluorodeoxyglucose uptake in the gastroesophageal junction on positron emission tomography (PET) . Esophagogastroduodenoscopy revealed a 15 mm torose lesion in the right wall under the squamocolumnar junction and a 10 mm flat area of rough mucosa on the posterior wall of the lesion. Biopsy results indicated adenocarcinoma. Endoscopic submucosal dissection was performed ; the lesion was resected en bloc. The pathological results revealed Barrett’s esophageal adenocarcinoma (tub1>tub2) of Type 0-Is+0-IIb, 24×15 mm, pT1a (SMM) , ly0, v0, pHM0, and pVM0, which was curatively resected.
Cases of Barrett’s esophageal adenocarcinoma being recommended for endoscopic treatment following diagnoses by PET are rare making this case highly significant.