Surgical management of the esogastric junction adenocarcinoma according to its histological types

Vol. 53 No. 1, 2012

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

D. Ene, Smaranda Popescu, Raluca Ciurea, Cristina Daniela Oprea, Lorena Mihaela Sfirleaza

Most adenocarcinomas of the esophagus occur in the area of the cardia and originate in islands of gastrointestinal mucosa, less often in the submucosal glands, and are usually histologically similar to gastric adenocarcinoma and its various histological patterns. Most tumors are well differentiated. All patients included in this study were diagnosed with adenocarcinoma of the esogastric junction through prior endoscopy and histopathological examination of the biopsies. Patients with resectable tumors underwent surgical resection followed by histopathological examination of the resected samples. The most frequently encountered tumor was represented by type III, subcardial adenocarcinoma in 68% of all cases. The main surgical procedure was distal esophagectomy with total gastrectomy extended by abdominal transthoracic approach. All the studied cases were diagnosed with adenocarcinoma of the gastro-esophageal junction. The majority of them were well-differentiated being easily recognized by their submucosal invasion. We believe that surgery with curative intent is superior to curative palliative treatment.

Corresponding author: Dragos Ene, MD, e-mail: dragoshene@yahoo.com

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