ABSTRACT
The authors report a rare and difficult case of hydatic cyst. The case was rare due to the location of the hydatic disease in the upper mediastinum and because of the onset of the disease with a complication: a spinal cord compression syndrome produced by the migration of the hydatic cyst into the spinal channel. The case was difficult because of the diagnostic problems--especially to establish the topography of the lesion and surgical management.
Subject(s)
Echinococcosis/complications , Mediastinal Diseases/complications , Spinal Cord Compression/etiology , Cervical Vertebrae/diagnostic imaging , Echinococcosis/diagnostic imaging , Echinococcosis/surgery , Humans , Male , Mediastinal Diseases/diagnostic imaging , Mediastinal Diseases/surgery , Middle Aged , Radiography , Spinal Cord Compression/diagnostic imaging , Spinal Cord Compression/surgeryABSTRACT
Adenocarcinoma arising in ectopic gastric mucosa has been reported more than 40 years ago. This report reviews our experience with Barrett's adenocarcinoma over 8 years. The definition remains subject to controversy. More than 50% of patients in our study had unfavorable course of disease. The hope for cure lies almost in early detection of tumors at which point a truly curative resection could be done. There is no difference in terms of survival comparing to the adenocarcinoma arising on normal esophagus.