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Endoscopic Biopsy Interpretation pp 25–68Cite as

Oesophagus: Inflammatory Patterns

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Abstract

Identifying inflammatory patterns in an oesophageal biopsy often gives important clues that lead to a specific aetiological diagnosis. Another important aspect of dealing with nonneoplastic oesophageal biopsies is to correctly identify conditions that have a potential to neoplastic progression as they need closer surveillance. It is vital to correlate the microscopic pattern in an endoscopic biopsy with clinical and endoscopic clues. This chapter details the patterns, clues and pitfalls in biopsy interpretation that leads to a clinically relevant conclusion highlighting key points. In addition to providing strategies for dealing with reactionary patterns, a series of short clinical stories that correlate important clinical, endoscopic and pathologic features are included. Illustration of key points and features are facilitated by a large number of high-quality photomicrographs.

Keywords

  • Inflammatory patterns
  • Oesophageal biopsy
  • Nonneoplastic oesophageal lesions
  • Neoplastic oesophageal lesions

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Authors and Affiliations

  1. Department of Anatomical Pathology, Royal North Shore Hospital, University of Sydney, St. Leonards, NSW, Australia

    Mahsa S. Ahadi

  2. Cancer Diagnosis and Pathology Group, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, St. Leonards, NSW, Australia

    Anthony J. Gill

  3. Department of Anatomical Pathology, Royal North Shore Hospital, The University of Sydney, St Leonards, NSW, Australia

    John R. Turchini

  4. Interventional Endoscopist and Gastroenterologist, Department of Gastroenterology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia

    Spiro C. Raftopoulos

  5. University of Western Australia, Perth, WA, Australia

    Spiro C. Raftopoulos

  6. Department of Anatomical Pathology, PathWest Laboratory Medicine, QEII Medical Centre and University of Western Australia, Perth, WA, Australia

    M. Priyanthi Kumarasinghe

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  1. Mahsa S. Ahadi
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Editors and Affiliations

  1. Department of Anatomical Pathology, PathWest Laboratory Medicine, QEII Medical Centre and University of Western Australia, Perth, WA, Australia

    Prof. M. Priyanthi Kumarasinghe

  2. Envoi Pathology, Kelvin Grove, QLD, Australia

    Ian Brown

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Ahadi, M.S., Gill, A.J., Turchini, J.R., Raftopoulos, S.C., Kumarasinghe, M.P. (2019). Oesophagus: Inflammatory Patterns. In: Kumarasinghe, M., Brown, I. (eds) Endoscopic Biopsy Interpretation. Springer, Cham. https://doi.org/10.1007/978-3-319-79117-3_2

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