title: Lymph-node metastasis in surgical resection of intramucosal esophageal adenocarcinoma.
abstract: Determination of the risk of lymph-node metastasis is crucial in making appropriate surgical or endoscopic resection therapeutic decisions. The actual number of patients with esophageal adenocarcinomas and esophagogastric junction adenocarcinomas remains relatively low in Japan; therefore, debate still exists as to whether or not intramucosal esophageal adenocarcinoma has a risk of lymph-node metastasis. We report herein a case of lymph-node metastasis in a surgical resection of an esophageal adenocarcinoma with muscularis mucosae invasion, but no lymphovascular involvement.
authors.affiliation: Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. ioda@ncc.go.jp
authors.forename: Ichiro
authors.initials: I
authors.lastname: Oda
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Yamada
authors.forename: Shigetaka
authors.initials: S
authors.lastname: Yoshinaga
authors.forename: Yuji
authors.initials: Y
authors.lastname: Tachimori
authors.forename: Ryoji
authors.initials: R
authors.lastname: Kushima
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000368:Aged; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004945:Esophagoscopy; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D009092:Mucous Membrane / Q000473:pathology* / Q000601:surgery