Esophageal Adenocarcinoma in an Active Duty Sailor: A Case Report Article Swipe

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GERD Medicine Adenocarcinoma Reflux Active duty Basal cell Gastroenterology Disease Internal medicine Esophageal adenocarcinoma Esophageal squamous cell carcinoma Stage (stratigraphy) Pathology Carcinoma Cancer Military personnel Biology Political science Paleontology Law

Benjamin F Wilson , John V. Dang , Dane Masuda , Trevor Cowler ·

YOU? · · 2022 · Open Access · · DOI: https://doi.org/10.1093/milmed/usac096 · OA: W4221122999

Esophageal adenocarcinoma develops when normal squamous epithelia are replaced by dysplastic intestinal columnar cells in response to chronic gastroesophageal reflux disease (GERD). In addition to squamous cell carcinoma, the two malignancies account for over 95% of esophageal malignancies. This case describes a sailor deployed onboard an aircraft carrier who initially presented with typical GERD symptoms and later developed multifactorial weight loss confounded by the operational environment. Upon return to homeport, he was diagnosed with stage III gastroesophageal junction adenocarcinoma. This case emphasizes the difficulty in identifying and diagnosing a rare and dangerous pathology in the resource-limited, operational environment.