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Higher clinical suspicion is needed for prompt diagnosis of esophageal adenocarcinoma in young patients
Author(s) -
Tamar Nobel,
Michael Curry,
Renee L. Gennarelli,
David R. Jones,
Daniela Molena
Publication year - 2019
Publication title -
journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.458
H-Index - 192
eISSN - 1085-8687
pISSN - 0022-5223
DOI - 10.1016/j.jtcvs.2019.03.095
Subject(s) - medicine , adenocarcinoma , esophagus , esophageal cancer , retrospective cohort study , disease , stage (stratigraphy) , incidence (geometry) , cohort , young adult , cancer , barrett's esophagus , surgery , paleontology , physics , optics , biology
Esophageal cancer is considered a disease of the elderly. Although the incidence of esophageal adenocarcinoma in young patients is increasing, current guidelines for endoscopic evaluation of gastroesophageal reflux disease and Barrett's esophagus include age as a cutoff. There is a paucity of data on the presentation and treatment of esophageal cancer in young patients. Most studies are limited by small sample sizes, and conflicting findings are reported regarding delayed diagnosis and survival compared with older patients.

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