A case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and review

Abstract Background Mixed adenoneuroendocrine carcinoma (MANEC) is defined as a neoplasm composed of both exocrine and endocrine carcinomas, each comprising at least 30% of the tumor. MANEC can occur in various organs of the gastrointestinal tract, including the esophagus, stomach, and colon. We her...

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Main Authors: Tetsuro Kawazoe, Hiroshi Saeki, Keitaro Edahiro, Shotaro Korehisa, Daisuke Taniguchi, Kensuke Kudou, Ryota Nakanishi, Nobuhide Kubo, Koji Ando, Yuichiro Nakashima, Eiji Oki, Minako Fujiwara, Yoshinao Oda, Yoshihiko Maehara
Format: Article
Language:English
Published: SpringerOpen 2018-05-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-018-0454-z
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author Tetsuro Kawazoe
Hiroshi Saeki
Keitaro Edahiro
Shotaro Korehisa
Daisuke Taniguchi
Kensuke Kudou
Ryota Nakanishi
Nobuhide Kubo
Koji Ando
Yuichiro Nakashima
Eiji Oki
Minako Fujiwara
Yoshinao Oda
Yoshihiko Maehara
author_facet Tetsuro Kawazoe
Hiroshi Saeki
Keitaro Edahiro
Shotaro Korehisa
Daisuke Taniguchi
Kensuke Kudou
Ryota Nakanishi
Nobuhide Kubo
Koji Ando
Yuichiro Nakashima
Eiji Oki
Minako Fujiwara
Yoshinao Oda
Yoshihiko Maehara
author_sort Tetsuro Kawazoe
collection DOAJ
description Abstract Background Mixed adenoneuroendocrine carcinoma (MANEC) is defined as a neoplasm composed of both exocrine and endocrine carcinomas, each comprising at least 30% of the tumor. MANEC can occur in various organs of the gastrointestinal tract, including the esophagus, stomach, and colon. We herein provide the first case report of surgically resected MANEC arising in Barrett’s esophagus (BE). Case presentation A 70-year-old man presenting with abdominal pain was referred to our hospital. Upper endoscopy showed a type 0-IIa + IIc elevated lesion adjacent to BE. According to a biopsy specimen, the elevated lesion was diagnosed as adenocarcinoma with neuroendocrine differentiation. No lymphatic or distant metastasis was detected in the preoperative examination. Laparoscopic distal esophagectomy and proximal gastrectomy were performed, and a diagnosis of MANEC in BE was determined according to the surgically resected specimen. Conclusions A very rare case of MANEC in BE was detected. BE can be the origin of esophageal MANEC as well as adenocarcinoma. Due to the small number of esophageal or esophagogastric MANEC cases reported, further accumulation of such cases is necessary to recommend an optimal management strategy for esophageal or esophagogastric MANEC.
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spelling doaj.art-b30808968e2a41f497396737559c1e5d2022-12-21T21:54:51ZengSpringerOpenSurgical Case Reports2198-77932018-05-01411610.1186/s40792-018-0454-zA case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and reviewTetsuro Kawazoe0Hiroshi Saeki1Keitaro Edahiro2Shotaro Korehisa3Daisuke Taniguchi4Kensuke Kudou5Ryota Nakanishi6Nobuhide Kubo7Koji Ando8Yuichiro Nakashima9Eiji Oki10Minako Fujiwara11Yoshinao Oda12Yoshihiko Maehara13Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityAbstract Background Mixed adenoneuroendocrine carcinoma (MANEC) is defined as a neoplasm composed of both exocrine and endocrine carcinomas, each comprising at least 30% of the tumor. MANEC can occur in various organs of the gastrointestinal tract, including the esophagus, stomach, and colon. We herein provide the first case report of surgically resected MANEC arising in Barrett’s esophagus (BE). Case presentation A 70-year-old man presenting with abdominal pain was referred to our hospital. Upper endoscopy showed a type 0-IIa + IIc elevated lesion adjacent to BE. According to a biopsy specimen, the elevated lesion was diagnosed as adenocarcinoma with neuroendocrine differentiation. No lymphatic or distant metastasis was detected in the preoperative examination. Laparoscopic distal esophagectomy and proximal gastrectomy were performed, and a diagnosis of MANEC in BE was determined according to the surgically resected specimen. Conclusions A very rare case of MANEC in BE was detected. BE can be the origin of esophageal MANEC as well as adenocarcinoma. Due to the small number of esophageal or esophagogastric MANEC cases reported, further accumulation of such cases is necessary to recommend an optimal management strategy for esophageal or esophagogastric MANEC.http://link.springer.com/article/10.1186/s40792-018-0454-zMixed adenoneuroendocrine carcinoma (MANEC)Barrett’s esophagusNeuroendocrine tumor
spellingShingle Tetsuro Kawazoe
Hiroshi Saeki
Keitaro Edahiro
Shotaro Korehisa
Daisuke Taniguchi
Kensuke Kudou
Ryota Nakanishi
Nobuhide Kubo
Koji Ando
Yuichiro Nakashima
Eiji Oki
Minako Fujiwara
Yoshinao Oda
Yoshihiko Maehara
A case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and review
Surgical Case Reports
Mixed adenoneuroendocrine carcinoma (MANEC)
Barrett’s esophagus
Neuroendocrine tumor
title A case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and review
title_full A case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and review
title_fullStr A case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and review
title_full_unstemmed A case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and review
title_short A case of mixed adenoneuroendocrine carcinoma (MANEC) arising in Barrett’s esophagus: literature and review
title_sort case of mixed adenoneuroendocrine carcinoma manec arising in barrett s esophagus literature and review
topic Mixed adenoneuroendocrine carcinoma (MANEC)
Barrett’s esophagus
Neuroendocrine tumor
url http://link.springer.com/article/10.1186/s40792-018-0454-z
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