“…Poorly differentiated carcinomas composed of sheets of epithelial cells with ill-formed glandular lumina, signet ring cell features, and mucinous (colloid) differentiation are uncommon, comprising 5% to 10% of cases. 26,29 Similarly, there are few cases of medullary 26,34 or lymphoepithelial 18,30 carcinoma of the esophagus in the literature, and to our knowledge, only a single case of BE-associated adenocarcinoma with lymphoid stroma (medullary carcinoma) has been reported so far. 35 Conversely, in this study, 4 of the 5 MSI-H tumors exhibited poor tumor differentiation, including medullary morphology, and the remaining case showed moderately differentiated adenocarcinoma with increased TILs.…”