ArticleFuture science OA2025
Endoscopic resection of an adenoma arising in cervical inlet patch: a case report.
Article in Future science OA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Cervical inlet patch refers to heterotopic gastric mucosa located in the proximal esophagus, which can be congenital or acquired and has a rare potential for neoplastic transformation. We report a rare case of a tubulovillous adenoma with high-grade dysplasia arising from an inlet patch. A 67-year-old male presented with a complaint of nighttime acid regurgitation and throat discomfort. Endoscopic examination revealed a 20 mm sessile polyp at 16-18 cm from the incisors, arising in an heterotopic gastric mucosa. Following comprehensive diagnostic workup including endoscopic ultrasound and computed tomography, endoscopic mucosal resection was performed. Histopathological examination confirmed a tubulovillous adenoma with high-grade dysplasia developed on gastric heterotopic mucosa with associated intestinal metaplasia. Complete resection was achieved, and follow-up endoscopy at 12 months showed no recurrence with complete resolution of symptoms. This case highlights the neoplastic potential of cervical inlet patches and demonstrates the efficacy of endoscopic resection as a definitive treatment modality for such lesions.
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