Adenocarcinoma of the Stomach with Tumor-Thrombotic Microangiopathy in an 11-Year-Old Male Patient

Sir,

I read with interest the article of Bläker et al: Adenocarcinoma of the stomach with tumor-thrombotic microangiopathy in an 11-year-old male patient published in European Journal of Pediatric Surgery, 2000, 10, pp. 45 - 49.

We have seen a case of adenocarcinoma of the esophagus in a 14¿-year-old boy. At surgery, resection of the upper part of the stomach was performed ([2]).

Hassall ([1]) had collected nine cases of adenocarcinoma between 11 and 25 years of age. Adenocarcinoma does occur in patients under 25 years of age as a complication of Barett's esophagus arising in childhood.

References

• 1 Hassall E, Dimmick J E, Magee J F. Adenocarcinoma in childhood Barrett's esophagus: Case documentation and the need for surveillance in children.  Am J Gastroenterol. 1993;  88 282-288
• 2 Hoeffel J C, Nihoul-Fekété C, Schmitt M. Esophageal adenocarcinoma after gastroesophageal reflux in children.  J Pediatr. 1989;  115 259-261