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An unusual elevated lesion of the oesophagus
  1. Koji Sawada1,
  2. Katsuya Ikuta2,
  3. Kentaro Itabashi1,
  4. Yasuyuki Suzuki1,
  5. Yusuke Mizukami2,
  6. Mikihiro Fujiya2,
  7. Koji Kubo1,
  8. Yasuaki Tamura3,
  9. Yoshihiro Torimoto2,
  10. Yutaka Kohgo2
  1. 1Department of Internal Medicine, Municipal Nakashibetsu Hospital, Nakashibetsu, Japan
  2. 2Department of Medicine, Division of Gastroenterology and Hematology/Oncology, Asahikawa Medical College, Asahikawa, Japan
  3. 3Department of Pathology, Sapporo Medical University School of Medicine, Sapporo, Japan
  1. Correspondence to Dr Katsuya Ikuta, Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510, Japan; ikuta{at}asahikawa-med.ac.jp

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Clinical presentation

A 44-year-old man with a history of gastric cancer that was treated with distal gastrectomy 4 years ago underwent upper endoscopic examination in a follow-up study. The endoscopic examination revealed an elevated lesion 8 mm in size in the lower oesophagus (figure 1A) and narrow band imaging (NBI) endoscopy showed vascular augmentation as brownish spots on the surface of the elevated lesion (figure 1B). There was no abnormality in the stomach and oesophagus–squamous junction. Physical examination and a routine blood test, including …

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