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Oesophageal Adenocarcinoma


Squamous carcinoma is the commonest malignancy in the oesophagus. About 10% of all malignant tumours in the oesophagus are adenocarcinomas. Most of these occur in the lower part of the oesophagus. In this picuture, an adenocarcinoma beginning about 6 centimeters above the cardia region is seen.


The lesion is fragile and easily bleeding after an attempt to pass through the stenosis with the gastroscope.


The same lesion as above seen in an x-ray examination of the oesophagus. An adenocarcima like this can be gastric in origin, or can arise from so called Barrettīs epithelium (a sequelae of longstanding reflux disease) in the oesophagus. S = Stomach, T = Tumour, O = Oesophagus.


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