1993 Volume 42 Pages 162-164
We reported a case of metachronous multiple esophageal dysplasia that is interesting clinically. A 78-year-old woman, who complained of epigastralgia, was detected a small iodine unstained lesion in the EGJ above by the endoscopy.
Pathologically, the biopsy was containing moderate dysplasia cells, but endoscopic mucosectomy was containing mild dysplasia. Following every 6 months, endoscopic examination showed another two iodine unstained lesions after 16 months. One was in the 35cm, another was in the 30cm from the incisor. These biopsy specimens were strongly suspected of squamous cell carcinoma, but the endoscopic mucosectomy revealed mild and severe dysplasia.
This case indicated the necessary of the endoscopic mucosectomy and careful follow up for esophageal dysplasia.
