Ultrasound-guided fine-needle aspiration diagnosis of adenocarcinoma of esophagus with signet-ring cell features arising in Barrett's esophagus: a case report

Diagn Cytopathol. 1998 Jul 1;19(1):51-4. doi: 10.1002/(sici)1097-0339(199807)19:1<51::aid-dc10>3.0.co;2-7.

Abstract

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-rings features. These findings represented an adenocarcinoma with signet-ring cell features arise in Barrett's esophagus.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / etiology*
  • Adenocarcinoma / pathology
  • Aged
  • Barrett Esophagus / complications*
  • Biopsy, Needle*
  • Esophageal Neoplasms / diagnosis*
  • Esophageal Neoplasms / etiology*
  • Esophageal Neoplasms / pathology
  • Female
  • Humans
  • Lymphatic Metastasis
  • Ultrasonography*