- 43/M patient with symptoms of dyspepsia – tobacco chewer and smoker.
- OGD Scopy revealed abnormal vascular pattern in the middle third of esophagus at 29cm from incisura. As per KUDO’s pit pattern classification it appears like IPCL – type III. Biopsy was taken from it for HPE; which is suggestive of an intraepithelial lesion – low grade squamous dysplasia.
- EMR performed with saline adrenaline injection and snare technique.
- Complete resection of the affected area was confirmed on post resection evaluation of the area.
Take home message:
Patient with risk factors such as tobacco consumption with dysplastic lesions in the esophagus are at very high risk of developing invasive cancers. Timely detection for intraepithelial lesions such as this case, will enable endoscopic curative resection. Importance of magnification and electronic chromoendoscopy can be appreciated in this case.