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Esophagogastric junction and its tumours – comments to definition and classification


Authors: Petr Lochman;  Tomáš Dušek;  Jiří Páral
Authors‘ workplace: Fakulta vojenského zdravotnictví UO v Brně, Hradec Králové ;  Chirurgická klinika LF UK a FN Hradec Králové
Published in: Čas. Lék. čes. 2018; 157: 84-89
Category: Review Article

Overview

In spite of the worldwide decreasing incidence of gastric cancer the number of esophagogastric junction and proximal third of stomach carcinomas has been gradually growing up. The reason of that is an increasing incidence of reflux esophagitis with Barrett´s metaplasia and a successful eradication of Helicobacter pylori infection. The aim of this work is to provide various views on definition of the esophagogastric junction and to give an overview of tumours classification schemes being used.

Keywords:
gastric cancer, esophagogastric junction, definition, classification


Sources

1. Ectors N, Driessen A, de Hertog G et al.: Is adenocarcinoma of the esophagogastric junction or cardia different from Barrett adenocarcinoma? Arch Pathol Lab Med 2005; 128: 183–185.

2. Craanen ME, Deker W, Blok D et al: Time trends in gastric cancer; changing patterns of type and location. Am J Gastroenterol 1992; 87: 572–579.

3. Powell J, McConkey CC: Increasing incidence of adenocarcinoma of the gastric cardia and adjacent sites. Br J Cancer 1990; 62: 440–443.

4. Devesa SS, Blot WJ, Fraumeni JF jr.: Changing patterns in the incidence of esophageal and gastric carcinoma in the United States. Cancer 1998; 83: 2049–2053.

5. Bollschweiler E, Wolfgarten E, Gutschow C, Hölscher AH: Demographic variations in the rising incidence of esophageal adenocarcinoma in white males. Cancer 2001; 92: 549–555.

6. Sharma R, Samantaray S, Shukla NK, Ralhan R: Transcriptional gene expression profile of human esophageal squamous cell carcinoma. Genomics 2003; 81: 481–488.

7. Ishikawa S, Shimada S, Miyanari N et al.: Pattern of lymph node involvement in proximal gastric cancer. World J Surg 2009; 33: 1687–1692.

8. Sobin LH, Gospodarowicz MK, Wittekind CH (eds.): TNM Classification of Malignant Tumours. 7th ed. Wiley-Blackwell, Oxford, 2009.

9. Marsman WA, Tytgat GN, ten Kate FJ, van Lanschot JJ: Differences and similarities of adenocarcinomas of the esophagus and esophagogastric junction. J Surg Oncol 2005; 92: 160–168.

10. Mönig SP, Hölscher AH.: Clinical classification systems of adenocarcinoma of the esophagogastric junction. In: Schneider PM (ed.): Adenocarcinoma of the Esophagogastric Junction. Springer-Verlag, Berlin, Heidelberg, 2010.

11. Lerche W: The Esophagus and Pharynx in Action. Charles C Thomas, Springfield, 1950.

12. Bombeck CT, Dillard DH, Nyhus LM: Muscular anatomy of the gastroesophageal junction and role of phrenoesophageal ligament. Autopsy study of sphincter mechanism. Ann Surg 1966; 164 (10): 643–652.

13. Dunn AA, Som ML, Schatzki R, Amendola FH: Symposium and panel discussion: the lower esophagus. N Y State J Med 1961; 61: 3823–3843.

14. Som ML: Endoscopy in diagnosis and treatment of diseases of the esophagus. J Mt Sinai Hosp N Y 1956; 23: 56–74.

15. Sharma P, Dent J, Armstrong D et al.: The development and validation of an endoscopic grading system for Barrett’s esophagus: The Prague C & M criteria. Gastroenterology 2006; 131: 1392–1399.

16. Lenglinger J, Eislier M, Wrba F: Update: Histopathology-based definition of gastroesophageal reflux disease and Barrett’s esophagus. European Surgery – Acta Chirurgica Austriaca 2008; 40: 165–175.

17. Misumi A, Murakami A, Harada K et al.: Definition of carcinoma of the gastric cardia. Langenbecks Archiv für Chirurgie 1989; 374 (4): 221–226.

18. Takubo K, Nixon JM, Jass JR: Ducts of esophageal glands proper and Paneth cells in Barrett´s esophagus: frequency in biopsy specimen. Pathology 1995; 27: 315–317.

19. Shimoda T, Naknishi Y, Saka M et al.: The recent advances and concept of Barrett’s esophagus. I to Cho, Stomach and Intestine 2004; 39: 1211–1222.

20. Amano Y, Ishimura N, Furuta K et al.: Which landmark results in a more consistent diagnosis of Barrett’s esophagus, the gastric folds or the palisade vessels? Gastrointest Endosc 2006; 64: 206–211.

21. Ishimura N, Amano Y, Kinoshita Y: Endoscopic definition of esophagogastric junction for diagnosis of Barrett´s esophagus: importance of systematic education and training. Dig Endosc 2009; 21: 213–218.

22. Takubo K, Vieth M, Aida J et al.: Differences in the definitions used for esophageal and gastric diseases in different countries. Digestion 2009; 80: 248–257.

23. Vianna A, Hayes PC, Moscoso G et al.: Normal venous circulation of the gastroesophageal junction. A route to understanding varices. Gastroenterology 1987; 93: 876–889.

24. Japan Esophageal Society: Japanese classification of esophageal cancer, 10th edition: Part I. Esophagus 2009; 6: 1–26.

25. Hirota WK, Loughney TM, Lazas DJ et al.: Specialized intestinal metaplasia, dysplasia and cancer of the esophagus and esophagogastric junction: prevalence and clinical data. Gastroenterology 1999; 116: 277–285.

26. Johnston MH, Hammond AS, Laskin W, Jones DM: The prevalence and clinical characteristics of short segments of specialized intestinal metaplasia in the distal esophagus on routine endoscopy. Am J Gastroenterol 1996; 91: 1507–1511.

27. Gerson LB, Shetler K, Triadafilopoulos G: Prevalence of Barrett’s esophagus in asymptomatic individuals. Gastroenterology 2002; 123: 461–467.

28. Rex DK, Cummings OW, Shaw M et al.: Screening for Barrett’s esophagus in colonoscopy patients with and without heartburn. Gastroenterology 2003; 125: 1670–1677.

29. Ronkainen J, Aro P, Storskrubb T et al.: Prevalence of Barrett’s esophagus in the general population: an endoscopic study. Gastroenterology 2005; 129: 1825–1831.

30. Ward EM, Wolfsen HC, Achem SROV et al.: Barrett’s esophagus in common in older men and women undergoing screening colonoscopy regardless of reflux symptoms. Am J Gastroenterol 2006; 101: 12–17.

31. de Nardi FG, Riddell RH: Esophagus. In: Sternberg SS. (ed.): Histology for Pathologists. Lippincott Raven, Philadelphia, 1997.

32. Chandrasoma PT, Der R, Ma Y et al.: Histology of the gastroesophageal junction: an autopsy study. Am J Surg Pathol 2000; 24: 402–409.

33. Chandrasoma PT, Makarewicz K, Wickramasinghe K et al.: A proposal for a new validated histological definition of the gastroesophageal junction. Hum Pathol 2006; 37: 40–47.

34. Chandrasoma PT, Wickramasinghe K, Ma Y, DeMeester T: Adenocarcinomas of the distal esophagus and "gastric cardia" are predominantly esophageal carcinomas. Am J Surg Pathol 2007; 31: 569–575.

35. Kilgore SP, Ormsby AH, Gramlich TL et al.: The gastric cardia: Fact or fiction? Am J Gastroenterol 2000; 95: 921–924.

36. Glickman JN, Fox V, Antonioli DA et al.: Morphology of the cardia and significance of carditis in pediatric patients. Am J Surg Pathol 2002; 26: 1032–1039.

37. Derdoy JJ, Bergwerk A, Cohen H et al.: The gastric cardia: to be or not to be? Am J Surg Pathol 2003; 27: 499–504.

38. De Hertogh G, van Eyken P, Ectors N et al.: On the existence and location of cardiac mucosa: an autopsy study in embryos, fetuses and infants. Gut 2003; 52: 791–796.

39. Sarbia M, Donner A, Gabbert HE: Histopathology of the gastroesophageal junction: a study on 36 operation specimen. Am J Surg Pathol 2002; 26(9): 1207–1212.

40. Ellis FH: Esophagogastrectomy for carcinoma: technical considerations based on anatomic location of the lesion. Surg Clin North Am 1980; 60: 265–279.

41. Ellis FH, Maggs PR: Surgery for carcinoma of the lower esophagus and cardia. World J Surg 1981; 5: 527–533.

42. Ellis FH, Gibb SP, Watkins E: Limited esophagogastrectomy for carcinoma of the cardia: indications, technique and results. Ann Surg 1988; 208: 354–360.

43. Dolan K, Sutton R, Walker SJ, Morris A et al.: New classification of oesophageal and gastric carcinomas derived from changing patterns in epidemiology. Br J Cancer 1999; 80(5/6): 834–843.

44. Japanese Gastric Cancer Association: Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer 2011; 14: 101–112.

45. Japanese Gastric Cancer Association: Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer 2011; 14: 113–123.

46. Sobin LH, Wittekind C (eds.): TNM classification of malignant tumours (6th ed.). John Wiley & Sons, New Jersey, 2002.

47. Wittekind C, Henson DE, Hutter RVP et al.: TNM Supplement: a commentary on uniform use (2nd ed.). Wiley, New York, 2001.

48. Sobin LH, Compton CC: TNM, 7th edition: What’s new, what’s changed. Cancer 2010; 116(22): 5336–5339.

49. Rice TW, Ishwaran H, Ferguson MK et al.: Cancer of the esophagus and esophagogastric junction: an 8th edition staging primer. J Thorac Oncol 2017; 12(1): 36–42.

50. Siewert JR, Hölscher AH, Becker K, Gössner W: Kardiakarzinom: Versuch einer therapeutisch relevanten Klassifikation. Chirurgia 1987; 58: 25–34.

51. Siewert JR, Feith M, Werner M, Stein HJ: Adenocarcinoma of the esophagogastric junction. Results of surgical therapy based on anatomical/topographic classification in 1002 consecutive patients. Ann Surg 2000; 232: 353–361.

52. Hölscher AH, Bollschweiler E, Siewert JR: Carcinoma of the gastric cardia. Annales Chirurgiae et Gynaecologiae 1995; 84: 185–192.

53. Hölscher AH: Adenocarcinoma of the cardia. In: Patterson A, Pearson G, Cooper JD et al. (eds.): Pearson’s esophageal surgery (3rd ed.). Elsevier, Philadelphia, 2008

54. Siewert JR, Stein HJ: Classification of carcinoma of the oesophagogastric junction. Br J Surg 1998; 85: 1457–1459.

55. Hamilton SR, Aaltonen LA (eds.): World Health Organization classification of tumours: Tumours of the digestive system. IARC Press, Lyon, 2000: 9–67.

56. Wang HH, Antonioli DA, Goldman H: Comparative features of esophageal and gastric adenocarcinomas: recent changes in type and frequency. Hum Pathol 1986; 17: 482–487.

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