title: Esophageal adenocarcinoma and Barrett esophagus in a neurologically impaired teenager.
abstract: Esophageal adenocarcinoma (EAC) accompanied by Barrett esophagus (BE) is rare in patients younger than 20 years old. EAC in the upper esophagus is also rare. We report a rare case of EAC with BE that developed in the upper esophagus after chronic, untreated gastroesophageal reflux disease in a neurologically impaired teenager. A 19-year-old neurologically impaired man underwent endoscopy for evaluation of dysphagia and vomiting, and was diagnosed with EAC with BE. He underwent transthoracic esophagectomy, extensive lymph node dissection, and cervical esophagogastric anastomosis, but the prognosis was poor. Pathology indicated poorly differentiated adenocarcinoma with BE.
authors.affiliation: Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors.forename: Jae-Yeon
authors.identifier: http://orcid.org/0000-0003-2777-3444
authors.initials: JY
authors.lastname: Hwang
authors.affiliation: Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea.
authors.forename: Yeoun Joo
authors.initials: YJ
authors.lastname: Lee
authors.affiliation: Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea.
authors.forename: Peter
authors.initials: P
authors.lastname: Chun
authors.affiliation: Department of Pathology, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors.forename: Dong Hoon
authors.initials: DH
authors.lastname: Shin
authors.affiliation: Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea.
authors.forename: Jae Hong
authors.initials: JH
authors.lastname: Park
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D001471:Barrett Esophagus / Q000150:complications* / Q000175:diagnosis; D006233:Persons with Disabilities; D018450:Disease Progression; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis*; D004945:Esophagoscopy; D017809:Fatal Outcome; D005773:Gastroscopy; D006801:Humans; D008297:Male; D009422:Nervous System Diseases / Q000150:complications* / Q000534:rehabilitation; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D055815:Young Adult
keywords: Barrett esophagus; adenocarcinoma; adolescent; gastroesophageal reflux