@article{oai:nagasaki-u.repo.nii.ac.jp:00016406, author = {Ikeda, Koki and Isomoto, Hajime and Oda, Hidetoshi and Shikuwa, Saburo and Mizuta, Yohei and Iwasaki, Keisuke and Kohno, Shigeru}, issue = {1}, journal = {Digestive endoscopy}, month = {Jan}, note = {A 73-year-old man with short segmental Barrett's esophagus underwent esophagoscopy, and a slightly depressed, discolored lesion was found on the anterior wall of the lower esophagus. Under a provisional diagnosis of differentiated adenocarcinoma without local lymph node metastasis, endoscopic submucosal dissection (ESD) was carried out. En bloc resection with tumor-free lateral/basal margins was accomplished without complication. The resected area was 12 x 15 mm in size, whereas the neoplastic lesion was 4 x 4 mm. Histopathological examination confirmed intramucosal well-differentiated tubular adenocarcinoma without angiolymphatic invasion adjacent to the muscularis mucosae. Repeated esophagoscopy 6 months after ESD showed neither locally recurrent nor metachronous lesions. Considering that Barrett's esophagus is a precancerous condition, one may recommend eradication of both the neoplastic and non-neoplastic lesion with using ESD., Without Figures, Digestive endoscopy, 21(1), pp. 34-36; 2009}, pages = {34--36}, title = {Endoscopic submucosal dissection of a minute intramucosal adenocarcinoma in Barrett's esophagus.}, volume = {21}, year = {2009} }