title: High-grade dysplasia, restricted to the basal cell layer involving the entire esophagus.
abstract: This report presents a case involving a unique observation of a high-grade squamous dysplasia involving the entire esophagus. Dysplastic cells were located exclusively in the basal portion of the esophageal squamous epithelium. The findings were documented using histologic analysis of the step-biopsies from the entire esophagus, histologic examination of the esophagectomy-specimen, immunohistochemical analysis, and molecular pathologic analysis of the p53 gene. A minimally invasive total esophagectomy was performed at the Department of Surgery of the University of Cologne, and histologic analysis of the resection specimen confirmed extensive high-grade dysplasia involving the oral resection margin, but no invasive carcinoma. This case does not fit the current World Health Organization (WHO) definition of high-grade squamous cell dysplasia, which requires full-thickness involvement of the squamous epithelium. Thus, the WHO criteria should probably be reconsidered in order to allow for a diagnosis of high-grade dysplasia in cases where dysplastic cells are exclusively located in the basal layer of the esophageal squamous epithelium.
authors: Mario Sarbia, Diana Karimi, Pathology Munich-North, 80992 Munich, Germany.
authors: Mario
authors: M
authors: Sarbia
authors: Mario Sarbia, Diana Karimi, Pathology Munich-North, 80992 Munich, Germany.
authors: Stefan
authors: S
authors: Wolfer
authors: Mario Sarbia, Diana Karimi, Pathology Munich-North, 80992 Munich, Germany.
authors: Diana
authors: D
authors: Karimi
authors: Mario Sarbia, Diana Karimi, Pathology Munich-North, 80992 Munich, Germany.
authors: Albert
authors: A
authors: Eimiller
mesh_terms: D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D002278:Carcinoma in Situ / Q000737:chemistry / Q000145:classification / Q000473:pathology* / Q000601:surgery; D004847:Epithelial Cells / Q000737:chemistry / Q000473:pathology*; D004938:Esophageal Neoplasms / Q000737:chemistry / Q000145:classification / Q000473:pathology* / Q000601:surgery; D016629:Esophagectomy; D004945:Esophagoscopy; D004947:Esophagus / Q000737:chemistry / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D060787:Neoplasm Grading; D011237:Predictive Value of Tests; D009626:Terminology as Topic
chemical_list: D014408:Biomarkers, Tumor
keywords: Basal cell compartment; Esophagus; Squamous cell dysplasia; World Health Organization-classification; p53-mutation