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Les dysplasies œsophagiennes en muqueuse malpighienne et cylindro-cellulaire: aspects histopathologiques

Oesophageal dysplasias within the squamous and columnar cell mucosa: histopathological aspects

Las displasias esófagicas en mucosa malpigiana y cilindro-celular: aspectos histopatólogicos

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Acta Endoscopica

Résumé

Le rôle de l’histopathologiste dans la définition et le diagnostic des lésions cancéreuses et précancéreuses de l’cesophage, sur muqueuse malpighienne ou cylindrique, est discuté sur la base de notre expérience personnelle et d’après les données de la littérature. Le diagnostic de dysplasie est un diagnostic fréquent et difficile, tant pour l’histologiste que pour le clinicien. Des méthodes de dépistage et un programme de surveillance du patient à risque sont proposés.

Summary

The role of the histopathologist in the definition and the diagnosis of precancerous and cancerous lesions originating in the squamous cell or columnar line mucosa of the esophagus are discussed on the basis of our experience and compared with the literature. The diagnosis of dysplasia is a frequent diagnosis but difficult to interpret both for the histopathologist as well as for the clinician. Screening methods and a monitoring programme for high risk patients are proposed.

Resumen

El papel del histopatólogo en la definitión y el diagnóstico de las lesiones cancerosas y precancerosas del esófago, sobre mucosa malpigiana o cilindrica, es discutido sobre la base de nuestra experiencia personal y según la informatión de la literatura. El diagnóstico de displasia es un diagnóstico frecuente y diflcil tanto para el histólogo como para el clínico. Los métodos de investigatión y un programa de vigilancia del paciente de riesgo son propuestos.

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  1. Institut Universitaire de Pathologie, Bugnon 25, 1011, Lausanne, Suisse

    Ch. Fontolliet, Ph. Monnier & J. B. Ollyo

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  1. Ch. Fontolliet
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  2. Ph. Monnier
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  3. J. B. Ollyo
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Fontolliet, C., Monnier, P. & Ollyo, J.B. Les dysplasies œsophagiennes en muqueuse malpighienne et cylindro-cellulaire: aspects histopathologiques. Acta Endosc 21, 607–615 (1991). https://doi.org/10.1007/BF02968557

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