Lynch-related adenocarcinoma in a cervical gastric inlet patch

Fig. 1 Endoscopic findings of early adenocarcinoma arising from ectopic gastric mucosa in the cervical esophagus in a 65-year-old man with Lynch syndrome.a White light shows the sessile lesion with ulcerated surface.Next to the lesion another inlet patch can be seen.b Narrow-band imaging (NBI) shows the irregular vascular pattern of the lesion.Some discrete bleeding and ulceration can also be noticed.The white dots are the delineation of the area to be resected by endoscopic submucosal dissection (ESD) involving the entire inlet patch.c Resection ulcer in the proximal esophagus after ESD.d Resection specimen with a lesion of 13 10 mm within a recognizable inlet patch. Fig. 2 Histological image of the pT1a m2 adenocarcinoma of the proximal esophagus, arising from ectopic gastric mucosa.