This lesion (Fig. 2.154) is an adenocarcinoma which had arisen as a complication of Barrett's oesophagus. Such lesions may for example be flat or exophytic, are often ulcerated, and may bleed easily. Dysphagia is a common presentation. Histopathological confirmation is essential. In addition to biopsy material, cytological smears (Fig. 2.163) can be useful.
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