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Video Endoscopic Sequence 1 of 2.
Adenocarcinoma that infiltrates the Cardias and the Fundus.
This lady of 87 year-old, presented with dysphagia to solids and liquids, anorexia and anemia.
For more endoscopic details download the video clips by
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the video in full screen.
All endoscopic images shown in this Atlas contain
video clips.
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Video Endoscopic Sequence 2 of 2.
Endoscopic image of adenocarcinoma of the gastric fundus
These image shows a ulcerated malignant tumor in the gastric fundus, (adenocarcinoma) retroflexed image.
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Video Endoscopic Sequence 1 of 4.
Barrett Adenocarcinoma.
This 85 year-old male, presented with dysphagia to solids and liquids, having a medical record to have been sufering long standing GERD.
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Video Endoscopic Sequence 2 of 4.
Endoscopy of Barrett Adenocarcinoma
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Video Endoscopic Sequence 3 of 4.
Endoscopy of Barrett Adenocarcinoma
The gastric cardias is infitrated by the neoplasia, retroflexed image.
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Video Endoscopic Sequence 4 of 4.
Endoscopy of Barrett Adenocarcinoma
Long Segment of Barrett´s Esophagus magnification endoscopy.
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ideo Endoscopic Sequence 1 of 20.
Endoscopic image of Barrett Adenocarcinoma
This 61 year-old male who four years previously, had made the diagnosis of Barrett's esophagus and has history of longstanding gastroesophageal reflux disease, to the point that the patient sleep almost sit, neither had received treatment with inhibitors of the proton pump inhibitors, or any endoscopic follow up.
At the time of this endoscopy, had 15 days suffering of dysphagia.
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Video Endoscopic Sequence 2 of 20.
Image and Video Clip of Barrett Adenocarcinoma
In the image and the video clip shows a tongue of Barrett's esophagus of a long segment and the extensive malignant infiltration and a hiatus hernia
Over time the relative distribution of cancers of the proximal digestive tract has changed. Squamous cell carcinomas of the esophagus have become less common, while numbers of adenocarcinomas have greatly increased. This shift most likely reflects an increase in the incidence of gastroesophageal reflux. Moreover, there is a decline in the incidence of distal gastric cancer, which in turn may be related to Heliobacter pylori eradication.
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Video Endoscopic Sequence 3 of 20.
In this video clip you can see, the extensive malignant infiltration, retroflexed image.
Simultaneously, there is a time trend toward a more proximal localization of gastric cancer. If the above-mentioned etiopathologic links are correct, this could indicate that the so-called cardia adenocarcinomas are not related to H pylori infection and that they may instead be related to gastroesophageal reflux and eventually may not be considered to be "gastric" cancers.
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Video Endoscopic Sequence 4 of 20.
Endoscopic image of Barrett Adenocarcinoma
In this video clip you can see, a tongue of the Barrett´s esophagus, which has been enhanced with acetic acid, and also shows the endoscopic biopsies.
The rapidly growing quantity of literature on this subject is, however, confounding. A major source of discordance would seem to be a Babylonian confusion of tongues concerning the terms cardia and cardiac carcinomas. Unfortunately, this confusion is also apparent in the classification systems available for staging of cancer, thus closing the "vicious" circle.
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Video Endoscopic Sequence 5 of 20.
H&E
Gastric cardia adenocarcinoma, invasive mucosecretante,
intestinal type, moderately differentiated (grade 2).
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Video Endoscopic Sequence 6 of 20.
H&E
At the microscope is a mucus-secreting glandular neoplasia,
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Video Endoscopic Sequence 7 of 20.
(Alcian blue positive).
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Video Endoscopic Sequence 8 of 20.
Positive Citoqueratin +++
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Video Endoscopic Sequence 9 of 20.
Positive Citoqueratin +++
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Video Endoscopic Sequence 10 of 20.
Video clip of the surgical specimen, noting the esophagus and the gastric fundus.
Click on the image to download the video clip
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Video Endoscopic Sequence 11 of 20.
Another video clip of the surgical specimen at the operating room.
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Video Endoscopic Sequence 12 of 20.
Another video clip of part of the surgical procedure showing a clamp while cutting and stapler.
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Video Endoscopic Sequence 16 of 20.
Macroscopic Specimen image of Barrett Adenocarcinoma
Click on the image to enlarged in a new window.
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Video Endoscopic Sequence 17 of 20.
Macroscopic Specimen image of Barrett Adenocarcinoma
Click on the image to enlarged in a new window.
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Video Endoscopic Sequence 18 of 20.
Macroscopic Specimen image of Barrett Adenocarcinoma
The neoplasm arising in Barrett's epithelium.
Click on the image to enlarged in a new window.
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Video Endoscopic Sequence 19 of 20.
Macroscopic Specimen image of Barrett Adenocarcinoma
Click on the image to enlarged in a new window. |
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Video Endoscopic Sequence 1 of 4.
Synchronous Gastric Cancer
Double Cardia Cancer and Adenocarcinoma of the Antrum
This is a male 63 year-old male, presented with anorexia, dysphagia, and anemia. An upper endoscopic was performed finding two neoplasms. One in esophageal cardias spread to gastric cardia and one in the anterior wall of antrum
Second primary cancer influences the prognosis of gastric cancer patients, and because primary or secondary prevention is the best way to cure cancer, some investigators have focused on the characteristics of second primary cancers in gastric cancer patients. However, few studies have been performed in this regard, and most of these studies are limited to metachronous cancers or the treatment-related second primary malignancies of gastric cancer patients]. The detection of synchronous cancers gives us the opportunity to treat both cancers simultaneously using less invasive techniques and thus to benefi cially infl uence the prognosis and quality of life of these patients.The aim of this study was to find a means of identifying gastric cancer patients at risk of having a synchronous cancer.
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Video Endoscopic Sequence 2 of 4.
Synchronous Gastric Adenocarcinoma
The gastric antrum is infiltrated with a second neoplasia.
Whilst synchronous adenocarcinoma of the stomach is well documented, metachronous primary disease is exceedingly rare.
Multiple synchronous gastric carcinomas are variously described in 1-3% of patients, and they occur typically in elderly men.
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Video Endoscopic Sequence 3 of 4.
Endoscopic image of adenocarcinoma of the Gastric Fundus
The gastric cardia is infiltrated.
Multiplicity of primary malignancies itself does not seem to indicate a poor prognosis. The early detection of additional primary malignancies will enable proper management with curative intent.
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Video Endoscopic Sequence 4 of 4.
Endoscopy of adenocarcinoma of the antrum second neoplasia.
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