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Esophageal Adenocarcinoma and Its Rare Association with Barrett's Esophagus in Henan, China.
[esophageal squamous cell carcinoma]
Incidence
of
esophageal
adenocarcinoma
(
EAC
)
has
increased
sharply
in
Western
Europe
and
United
States
over
the
past
three
decades
.
Nearly
all
cases
of
EAC
in
the
west
are
thought
to
be
associated
with
Barrett
's
esophagus
(
BE
)
at
the
time
of
diagnosis
.
Regions
in
the
Henan
province
of
China
have
one
of
world
's
highest
incidences
of
esophageal
cancer
,
yet
recent
temporal
trends
in
the
relative
rates
of
EAC
with
respect
to
esophageal
squamous-cell
carcinoma
(
ESCC
)
,
as
well
as
its
association
with
Barrett
's
esophagus
(
BE
)
,
have
not
been
reported
.
In
this
report
,
we
present
large
-scale
longitudinal
clinical
and
histological
data
on
5401
esophageal
cancers
(
EC
)
patients
diagnosed
during
the
recent
10
-
year
period
(
2002
-
2011
)
at
Henan
Cancer
Hospital
,
China
.
All
217
esophageal
adenocarcinoma
(
EAC
)
patients
from
these
5401
EC
patients
were
examined
to
better
understand
the
relationship
between
Barrett
's
esophagus
(
BE
)
and
EAC
.
We
found
that
EAC
was
relatively
rare
and
accounted
for
approximately
5
%
of
all
esophageal
cancers
each
year
during
2002
-
2011
.
There
is
no
evidence
of
significant
temporal
trends
in
the
rate
of
EAC
relative
to
ESCC
.
Only
10
out
of
217
(
4
.
6
%
)
EAC
cases
were
detected
to
have
any
evidence
of
Barrett
's
esophagus
.
This
result
raises
the
possibility
of
a
different
etiological
basis
for
EAC
in
China
motivating
more
detailed
epidemiological
,
clinical
and
molecular
characterization
of
EAC
in
China
in
order
to
better
understand
the
neoplastic
development
of
EAC
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated