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(Chest. 1971;59:330-333.)
© 1971 American College of Chest Physicians

Barrett—Type Esophagus Associated with Squamous Carcinoma

Hisashi Tamura M.D.1 and Stephen A. Schulman M.D.2

1 Assistant Pathologist, Department of Pathology, Miriam Hospital, Providence, Rhode Island
2 Associate Radiologist, Department of Radiology, Miriam Hospital

A patient with a large fungating, squamous carcinoma of the esophagus associated with hiatal hernia and columnar epithelium of the lower esophagus is presented. The area of columnar epithelium lined mucosa exactly corresponded to the area of esophageal wall in direct contact with the tumor surface. It was considered that the columnar epithelium in this case was a result of re-epithelialization of mucosa which had been denuded by mechanical irritation of the large fungating, intraluminal mass and by reflux esophagitis due to hiatal hernia. This case is considered to present further evidence to support the theory that the Barrett-type epithelium of esophagus is an acquired condition rather than congenital.






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