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Adénocarcinome de la jonction œsogastrique dans le décours d’injections sclérosantes pour varices œsophagiennes

Adenocarcinoma of the esogastric junction following sclerosing injections for esophageal varices

Adenocarcinoma de la union esofagogástrica en el curso de tratamiento esclerosante por varices esofágicas

  • Published:
Acta Endoscopica

Résumé

Les auteurs rapportent l’observation d’un adénocarcinome de la jonction œsogastrique survenu dans le décours lointain d’une sclérothérapie endoscopique de varices œsophagiennes. L’étude histologique révèle le développement d’au moins deux foyers néoplasiques développés au sein d’une zone fibro-inflammatoire correspondant au site d’injections sclérosantes; l’un des foyers néoplasiques est en continuité avec la muqueuse cardiale. Les troubles de la motricité œsophagienne provoqués par la sclérothérapie endoscopique pourraient créer des conditions analogues à celles rencontrées dans les sténoses caustiques, l’achalasie du cardia et le syndrome de Plummer-Vinson, pathologies dans lesquelles le risque néoplasique est accru.

Summary

The authors report on the case of an adenocarcinoma of the esogastric junction which arose a long time after an endoscopic sclerotherapy of esophageal varices. The histological study reveals the development of at least two neoplastic foci which had developed in a fibro-inflammatory zone corresponding to the site of the sclerosing injections; one of the neoplastic sites was continuous with the cordial mucosa. Disorders of esophageal motricity caused by endoscopic sclerotherapy could create conditions similar to those met in caustic stenosis, achalasia of the cardia and the Plummer-Vinson syndrome, pathologies in which neoplastic risk is increased.

Resumen

Los autores aportan el caso de un adenocarcinoma de la unión esofagogástrica que apareció en el curso evolutivo, alejado, de una escleroterapia endoscópica por varices esofágicas. El estudio histológico reveló la existencia de un mínimo de 2 focos neoplásicos desarrollados en el seno de una zona fibrosainflamatoria correspondante al punto de la inyección esclerosante; uno de los focos neoplásicos mostraba continuidad con la mucosa car dial. Los trastomos de motilidad esofágica provocados por la escleroterapia endoscópica podrían crear situaciones análogas a las halladas en las estenosis caústicas, la acalasia y el sindrome de Plummer-Vinson, enfermedades en las que el riesgo de degeneración neoplásica está aumentado.

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Authors and Affiliations

  1. Unité Médico- Chirurgicale d’Hépato- Gastroentérologie, Hópital de la Citadelle, Liège, Belgique

    J. Deflandre, H. LU anh & A. Denoël

  2. Service d’Anatomie Pathologique, C.H.U. Liège, Belgique

    L. Longree, P. Michel & J. Boniver

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  1. J. Deflandre
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  2. L. Longree
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  3. H. LU anh
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  4. A. Denoël
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  5. P. Michel
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  6. J. Boniver
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Deflandre, J., Longree, L., anh, H.L. et al. Adénocarcinome de la jonction œsogastrique dans le décours d’injections sclérosantes pour varices œsophagiennes. Acta Endosc 18, 387–391 (1988). https://doi.org/10.1007/BF02985437

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  • DOI: https://doi.org/10.1007/BF02985437

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