Partially ulcerated mucosa with related invasive carcinoma showing irregular, crowded glands lined by malignant columnar cells exhibiting moderate anaplasia and mitosis. In some fragment, tumor is related to surface intact squamous epithelium of lower esophagus. Other fragments show glandular mucosa of gastric type. This tumor could be extending from cardia of stomach or it could be arising on top of Barrett's esophagitis.
Dysphagia. Endoscopy: a polypoidal ulcerated lesion occupied at the distal 7 cm of the esophagus, extending downward to the proximal part of the fundus.
Multiple soft tissue fragments collectively measured 1.5x1.2 cm, totally embedded.