Abstract
In this institution the term adenocarcinoma of the gastro-oesophageal junction is used to describe all tumours which have their centre within an area 5 cm orad or 5 cm aborad to the lower oesophageal sphincter (LOS). Oesophageal adenocarcinomas and subcardial gastric carcinomas are included in this category if they infiltrate the cardia, meaning the terminal oesophageal musculature. This therefore leads to the following classification for different types of adenocarcinomas at the gastro-oesophageal junction1–3:
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1.
Type I: adenocarcinoma in Barrett’s oesophagus (centre of tumour 1–5 cm orad to the LOS).
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2.
Type II: carcinoma arising from the cardia proper (centre of tumour between 1 cm above and 2 cm below the LOS).
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3.
Type III: subcardial or fundal carcinoma of the stomach which infiltrates the lower oesophagus mostly within the submucosa (centre of tumour 2–5 cm below the LOS).
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© 1994 Springer Science+Business Media Dordrecht
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Hölscher, A.H., Bumm, R., Siewert, J.R. (1994). Oesophagogastrectomy for adenocarcinoma of the oesophagus and cardia. In: Jamieson, G.G., Debas, H.T. (eds) Surgery of the Upper Gastrointestinal Tract. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-6621-6_34
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DOI: https://doi.org/10.1007/978-1-4899-6621-6_34
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