Barrett's esophagus and squamous cell carcinoma in a patient with psychogenic vomiting.
We report the association of Barrett's esophagus and invasive squamous cell carcinoma of the distal esophagus in a young 31-yr-old woman with a history of self-induced psychogenic vomiting. The development of intestinalized columnar mucosa and esophageal cancer in this young patient illustrates the complicated associations between human behavior and pathogenetic mechanisms involved in esophageal carcinogenesis.
Dessureault
Sophie
S
Department of Interdisciplinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA. dessursm@moffitt.usf.edu
Coppola
Domenico
D
Weitzner
Michael
M
Powers
Pauline
P
Karl
Richard C
RC
D000328:Adult; D000437:Alcoholism / Q000150:complications; D001471:Barrett Esophagus / Q000150:complications / Q000473:pathology*; D002177:Candidiasis / Q000150:complications / Q000473:pathology*; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000473:pathology* / Q000523:psychology / Q000556:secondary; D003469:Culture; D004938:Esophageal Neoplasms / Q000150:complications / Q000473:pathology* / Q000523:psychology; D004940:Esophageal Stenosis / Q000150:complications / Q000473:pathology; D016629:Esophagectomy; D004941:Esophagitis / Q000150:complications / Q000473:pathology*; D004945:Esophagoscopy; D005199:Fanconi Anemia / Q000150:complications; D017809:Fatal Outcome; D001068:Feeding and Eating Disorders / Q000150:complications* / Q000523:psychology; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications; D006551:Hernia, Hiatal / Q000150:complications; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008175:Lung Neoplasms / Q000556:secondary; D008679:Metaplasia; D012907:Smoking / Q000009:adverse effects; D019966:Substance-Related Disorders / Q000150:complications; D014839:Vomiting / Q000150:complications / Q000523:psychology*