Case Study Essay

Esophageal cancer within a young girl with hambre nervosa: a case report Eric T Shinohara, Samuel Swisher-McClure, Michael Husson, Weijing Sunshine and James M Metz Journal of Medical Circumstance Reports 3 years ago, 1: 160 doi: 15. 1186/1752-1947-1-160 Received: 27 Come july 1st 2007

Acknowledged: 29 The fall of 2007

Released: 29 November 2007


In the past twenty-five years, the prevalence of esophageal adenocarcinoma has increased considerably within the United states of america and it is at this point the most common histological type of esophageal cancer [1]. Inspite of advances in treatment, adenocarcinoma of the esophagus has a poor prognosis [2]. A recent study of patients with resectable disease demonstrated five year overall survivals of 81%, 51%, 14%, and 0% to get stage I through 4 respectively. Recently implicated risk factors to get esophageal adenocarcinoma include gastroesophageal reflux disease, tobacco employ, obesity, and Barrett's esophagus. Prior reports have also advised that serious bulimia nervosa (BN) is a risk factor for the introduction of esophageal adenocarcinoma. Repeated microtrauma, due to nausea, may help the malignant modification of the esophageal tissue. We report the truth of a 27 year old girl patient with a remote good BN just lately diagnosed with adenocarcinoma of the esophagus. Case business presentation

A twenty-seven year old girl presented with a one year great progressively deteriorating epigastric pain, reflux, and fatigue. She was initially remedied with acid solution suppression remedy by her primary proper care physician, which usually temporarily happy her symptoms. However , her symptoms became refractory to medication and she noted the onset of dysphagia. The lady reported a remote history of bulimia nervosa (BN) of approximately 12 months duration when justin was 17. The lady reported shows of binge eating and self-induced vomiting, at least one time a day. Your woman denied any more history of hambre since that time, which has been corroborated by simply her mother. The patient reported smoking about...