[Present state and measures of Barrett's cancer in Japan].
Barrett's adenocarcinoma is common esophageal cancer in western countries but very rare in Japan. We reviewed 206 cases of Barrett's cancer in Japanese literature that issued from 2000 to 2004. 80% of them were superficial cancer. There was no mucosal Barrett's cancer with lymph nodes metastasis, therefore EMR (endoscopic mucosal resection) method is an appropriate way for mucosal cancer. Barrett's cancer with submucosal invasion occur lymph nodes metastasis, so surgical operation should be applied for deeper invasion to submucosal cancer.
Nishi
Takayuki
T
Department of Digestive Surgery, Toukai University School of Medicine.
Makuuchi
Hiroyasu
H
Shimada
Hideo
H
Chino
Osamu
O
Yamamoto
Soichiro
S
Hara
Tadashi
T
D000230:Adenocarcinoma / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D001471:Barrett Esophagus / Q000150:complications*; D003131:Combined Modality Therapy; D013505:Digestive System Surgical Procedures; D004564:Electrocoagulation; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D004945:Esophagoscopy; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008197:Lymph Node Excision; D009367:Neoplasm Staging