Combined tubular adenocarcinoma and hepatoid adenocarcinoma arising in Barrett esophagus

被引:10
|
作者
Kuroda, Naoto [1 ]
Onishi, Kazuhisa [2 ]
Lee, Gang-Hong [3 ]
机构
[1] Kochi Univ, Kochi Red Cross Hosp, Dept Diagnost Pathol, Kochi 7808562, Japan
[2] Kochi Univ, Kochi Red Cross Hosp, Dept Surg, Kochi 7808562, Japan
[3] Kochi Univ, Kochi Med Sch, Dept Pathol, Kochi 7808562, Japan
关键词
Hepatoid adenocarcinoma; Barrett esophagus; Intestinal metaplasia; COMBINED CHORIOCARCINOMA; STOMACH; HISTOGENESIS; PROGRESSION; ASSOCIATION; EXPRESSION;
D O I
10.1016/j.anndiagpath.2010.06.006
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Hepatoid adenocarcinoma arising in the esophagus is extremely rare. To date, there are only 3 cases in the world English literature. We report the fourth case here. A 76-year-old Japanese man was admitted to our hospital because of the deterioration of nephritic syndrome. He presented with chest burn, and the endoscopic examination of upper digestive tract disclosed the tumor in the lower esophagus. The subtotal esophagectomy was undertaken because of esophageal cancer. The postoperative histologic examination showed the finding of combined tubular adenocarcinoma and hepatoid adenocarcinoma arising in Barrett esophagus. Immunohistochemically, hepatoid adenocarcinoma cells were positive for a-fetoprotein, hepatocyte, a1-antitrypsin, a1-antichymotrypsin, and CDX2, but negative for MUC5AC and MDC6. Esophageal hepatoid adenocarcinoma seems to be closely associated with Barrett esophagus and show the intestinal phenotype rather than gastric phenotype. (C) 2011 Elsevier Inc. All rights reserved.
引用
收藏
页码:450 / 453
页数:4
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