BMJ Case Reports 2018; doi:10.1136/bcr-2018-224893
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

Management of oesophageal intramucosal carcinoma

  1. Muhammed Ashraf Memon3
  1. 1Department of Surgery, Sunshine Coast Hospital and Health Service, Birtinya, Queensland, Australia
  2. 2Princess Alexandra Hospital Southside Clinical School, School of Medicine, University of Queensland, Woolloongabba, Brisbane, Queensland, Australia
  3. 3Sunnybank Obesity Centre and South East Queensland Surgery, Brisbane, Queensland, Australia
  1. Correspondence to Dr Darius Ashrafi, darius.ashrafi{at}
  • Accepted 30 August 2018
  • Published 14 September 2018


We present an interesting case of an intramucosal carcinoma (IMC) in the setting of Barrett’s oesophagus in a 66-year-old woman. Her clinical course highlights the shifting paradigm in the approach to management of Barrett’s oesophagus and IMC. With innovation in imaging and endoscopic treatment modalities, patients are detected earlier and managed prior to development of malignancy. The patient was treated with endoscopic modalities, and after 3 years’ follow-up, she remains recurrence free.


  • Contributors DA: author of manuscript, literature review and organisation of case. BM: manuscript and linguistic editor. MAM: supervisor, surgeon involved in the case, collector of case files, editor of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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