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Ultrasound‐guided fine‐needle aspiration diagnosis of adenocarcinoma of esophagus with signet‐ring cell features arising in Barrett's esophagus: A case report
Author(s) -
Baloch Zubair,
Lyle Stephen,
Hoda Rana S.,
Gupta Prabodh K.
Publication year - 1998
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/(sici)1097-0339(199807)19:1<51::aid-dc10>3.0.co;2-7
Subject(s) - medicine , esophagus , signet ring cell , barrett's esophagus , adenocarcinoma , radiology , esophageal adenocarcinoma , endoscopic ultrasound , pathology , anatomy , cancer
We report a rarely documented case of adenocarcinoma of esophagus with signet‐ring cell features arising in a Barrett's esophagus. This was diagnosed by employing combined endosonography and fine‐needle aspiration cytology. The patient had progressive dysphagia and a poorly circumscribed mass involving the distal esophagus and gastroesophageal junction. An incisional biopsy was performed which showed Barrett's esophagus with highly atypical glands suspicious for adenocarcinoma. Following that, an ultrasound‐guided endoscopic fine‐needle aspiration revealed a cellular specimen with multiple groups and singly dispersed atypical glandular cells with a predominance of signet‐ring features. These findings represented an adenocarcinoma with signet‐ring cell features arising in Barrett's esophagus. Diagn. Cytopathol. 1998;19:51–54. © 1998 Wiley‐Liss, Inc.