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Intraepithelial Neoplasia of the Digestive Tract

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Intraepithelial Neoplasia

Abstract

The development of oral squamous cell carcinoma is a process similar to cervical intraepithelial neoplasia. Oral intraepithelial neoplasia (OIN) is not only a change in terminology but also represents substantial progress in unifying the definition of precancerous lesions. Oral precancerous lesions are clinically classified as leukoplakia, erythroplakia and erythroleukoplakia which are histologically classified as simple hyperplasia, squamous oral intraepithelial neoplasia (OIN-I, OIN-II, OIN-III) and invasive carcinoma. Nearly all cases of esophageal carcinoma develop from intraepithelial neoplasia. Esophageal intraepithelial neoplasia includes squamous and columnar (Barrett’s esophagus) types. Barrett’s esophagus is the most important precursor lesion of esophagus adenocarcinoma. Gastric intraepithelial neoplasia (dysplasia) arises from either the native (normal) gastric epithelium or intestinalized gastric epithelium. Colorectal intraepithelial neoplasia can be categorized as low-and high-grade. Low-grade intraepithelial neoplasia is a mild epithelial disorder. High-grade intraepithelial neoplasia is characterized by cytological and histological features of malignancy in mucosal epithelium without definite evidence of stromal invasion.

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References

  1. Driemel O, Kunkel M, Hullmann M et al (2007) Diagnosis of oral squamous cell carcinoma and its precursor lesions. JDDG (Band 5) p1–6

    Google Scholar 

  2. Lombardi T, Kueffer R (2002) Premalignant lesions of the oral mucosa. A discussion about the place of oral intraepithelial neoplasia (OIN). Oral Oncol 38:125–130

    Article  PubMed  Google Scholar 

  3. Warnakulasuriya S (2001) Histological grading of oral epithelial dysplasia: revisited. J Pathol 194:294–297

    Article  PubMed  CAS  Google Scholar 

  4. Zakrzewska JM, Lopez V, Speight P et al (1996) Proliferative verrucous leukoplakia: a report of 10 cases. Oral Surg Oral Med Oral Pathol 82:396–401

    CAS  Google Scholar 

  5. Kramer IR, Lucas RB, Pindborg JJ et al (1978) Definition of leukoplakia and related lesions: an aid to studies on oral precancer. Oral Surg Oral Med Oral Pathol 46:518–539

    Article  PubMed  CAS  Google Scholar 

  6. Mashberg A (1977) Erythroplakia vs leukoplakia in the diagnosis of early asymptomatic oral squamous cell carcinoma. N Eng J Med 297:109–110

    Article  CAS  Google Scholar 

  7. Reichart PA, Philipsen HP (2005) Oral erythroplakia — a review. Oral Oncol 41:551–561

    Article  PubMed  Google Scholar 

  8. Shafer WG, Waldron CA (1975) Erythroplakia of the oral cavity. Cancer 36:1021–1028

    Article  PubMed  CAS  Google Scholar 

  9. Axéll T, Pindborg JJ, Smith CJ et al (1996) Oral white lesions with special reference to precancerous and tobacco-related lesions; conclusions of an international symposium held in Uppsala, Sweden, May 18–21, 1994. J Oral Pathol Med 25:49–54

    Article  PubMed  Google Scholar 

  10. Williamson JJ (1964) Erythroplakia of Queyrat of the buccal mucous membrane. Oral Surg Oral med Oral Pathol 17:308–318

    Article  PubMed  CAS  Google Scholar 

  11. Pindborg JJ, Reichart PA, Smith CJ et al (1997) World Health Organization. In Histological Typing of Cancer and Precancer of the Oral Mucosa. Springer-Verlag: Berlin

    Google Scholar 

  12. Lippman SM, Sudbø J, Hong WK (2005) Oral cancer prevention and the evolution of molecular-targeted drug development. J Clin Oncol 23:346–356

    Article  PubMed  Google Scholar 

  13. Rosin MP, Cheng X, Poh C et al (2000) Use of allelic loss to predict malignant risk for low-grade oral epithelial dysplasia. Clin Cancer Res 6: 357–362

    PubMed  CAS  Google Scholar 

  14. Shin DM, Xu XC, Lippman SM et al (1997) Accumulation of p53 protein and retinoic acid receptor β in retinoid chemoprevention. Clin Cancer Res 3:875–880

    PubMed  CAS  Google Scholar 

  15. Lumerman H, Freedman P, Kerpel S (1995) Oral epithelial dysplasia and the development of invasive squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:321–329

    Article  PubMed  CAS  Google Scholar 

  16. Qiu SL, Yang GR (1988) Precursor lesions of esophageal cancer in high risk populations in Henan Province, China. Cancer 62:551–557

    Article  PubMed  CAS  Google Scholar 

  17. Mandard AM, Marnay J, Gignoux M et al (1984) Cancer of the esophagus and associated lesions: detailed pathologic study of 100 esophagectomy specimens. Hum Pathol 15:660–669

    Article  PubMed  CAS  Google Scholar 

  18. Kuwano H, Matsuda H, Matsuoka H et al (1987) Intra-epithelial carcinoma concomitant with esophageal squamous squamous cell carcinoma. Cancer 59:783–787

    Article  PubMed  CAS  Google Scholar 

  19. Dawsey SM, Lewin KJ, Wang GQ et al (1994) Squamous esophageal histology and subsequent risk of squamous cell carcinoma of the esophagus. A prospective follow-up study from Linxian, China. Cancer 74:1686–1692

    Article  PubMed  CAS  Google Scholar 

  20. Wang LD, Zhou Q, Hong JY et al (1996) p53 protein accumulation and gene mutations in multifocal esophageal precancerous lesions from symptom free subjects in a high incidence area for esophageal carcinoma in Henan, China. Cancer 77:1244–1249

    Article  PubMed  CAS  Google Scholar 

  21. Goldblum JR (2003) Barrett’s esophagus and Barrett’s-related dysplasia. Mod Pathol 16:316–324

    Article  PubMed  Google Scholar 

  22. Mueller J, Werner M, Stolte M (2004) Barrett’s esophagus: histopathologic definitions and diagnostic criteria. World J Surg 28:148–154

    Article  PubMed  Google Scholar 

  23. Barrett NR (1950) Chronic peptic ulcer of the esophagus and “oesophagitis.” Br J Surg 38:175–182

    Article  PubMed  CAS  Google Scholar 

  24. Paull A, Teier JS, Dalton MD et al (1976) The histologic spectrum of Barrett’s esophagus. N Eng J Med 295:476–480

    CAS  Google Scholar 

  25. Rothery GA, Patterson JE, Stoddard CJ et al (1986) Histological and histochemical changes in the columnar lined (Barrett’s) oesophagus. Gut 27:1062–1068

    Article  PubMed  CAS  Google Scholar 

  26. Hayward J (1961) The lower end of the esophagus. Thorax 16:36–41

    Article  PubMed  CAS  Google Scholar 

  27. Sampliner R, The Practice Parameters Committee of the American College of Gastroenterology (1998) Practice guidelines on the diagnosis, surveillance, and therapy of Barrett’s esophagus. Am J Gastroenterol 93:1028–1032

    Article  PubMed  CAS  Google Scholar 

  28. Sampliner R, The Practice Parameters Committee of the American College of Gastroenterology (2002) Updated Guidelines on the diagnosis, surveillance, and therapy of Barrett’s esophagus. Am J Gastroenterol 97:1888–1895

    Article  PubMed  Google Scholar 

  29. Prach AT, MacDonald TA, Hopwood DA et al (1997) Increasing incidence of Barrett’s esophagus: education, enthusiasm or epidemiology? Lancet 350:933

    Article  PubMed  CAS  Google Scholar 

  30. Peters JH, Hagen JA, Demeester SR (2004) Barrett’s esophagus. J Gastrointestinal Surg 8:1–7

    Article  Google Scholar 

  31. Weinstein WM, Ippoliti AF (1996) The diagnosis of Barrett’s esophagus: goblets, goblets, goblets. Gastrointest Endosc 44:91–95

    Article  PubMed  CAS  Google Scholar 

  32. Shields HM, Zwas F, Antonioli DA et al (1993) Detection by scanning electron microscopy of a distinctive esophageal surface cell at the junction of squamous and Barrett’s epithelium. Dig Dis Sci 38:97–108

    Article  PubMed  CAS  Google Scholar 

  33. Seitz G (1999) Bioptische differential diagnostik der gastrooesophagealen Refluxkrankhei (GERD). In: Kirchner T, ed, Verhandlungen der Deutschen Gesellschaft für Pathologie: 83. Tagung, 27–36, Munich, Urban und Fischer

    Google Scholar 

  34. Byrne JP, Bhatnagar S, Hamid B et al (1999) Comparative study of intestinal metaplasia and mucin staining at the cardia and esophagogastric junction in 225 symptomatic patients presenting for diagnostic open-access gastroscopy. Am J Gastroenterol 94:98–103

    Article  PubMed  CAS  Google Scholar 

  35. Das KM, Sakamaki S, Vecchi M et al (1987) The production and characterization of monoclonal antibodies to a human colonic antigen associated with ulcerative colitis: cellular location of the antigen by using the monoclonal antibody. J Immunol 139:77–84

    PubMed  CAS  Google Scholar 

  36. Faller G, Borchard F, Ell C et al (2003) Histopathological diagnosis of Barrett’s mucosa and associated neoplasias: results of a consensus conference of the Working Group for Gastroenterological Pathology of the German Society for Pathology, 22 September 2001, Erlangen. Virchows Arch 443:597–601

    Article  PubMed  CAS  Google Scholar 

  37. Dixon MF (2002) Gastrointestinal epithelial neoplasia: Vienna revisited. Gut 51:130–131

    Article  PubMed  CAS  Google Scholar 

  38. Hamilton SR, Aaltonen LA (2000) World Health Organization. Pathology and Genetics of Tumours of the Digestive System. IARC Press, Lyon

    Google Scholar 

  39. Misdraji J, Lauwers GY (2002) Gastric epithelial dysplasia. Semin Diagn Pathol 19:20–30

    PubMed  Google Scholar 

  40. Weiss MM, Kuipers EJ, Postma C et al (2003) Genome wide array comparative genomic hybridization analysis of premalignant lesions of the stomach. Mod Pathol 56:293–298

    Article  CAS  Google Scholar 

  41. Anwar S, White J, Hall C et al (1999) Sporadic colorectal polyps: management options and guidelines. Scand J Gastroenterol 34:4–11

    Article  PubMed  CAS  Google Scholar 

  42. Watson AJ, Smith BB, Whitehead MR et al (2006) Malignant progression of anal intraepithelial neoplasia. ANZ J Surg 76:715–717

    Article  PubMed  Google Scholar 

  43. Abbasakoor F, Boulos PB (2005) Anal intraepithelial neoplasia. Br J Surg 92:277–290

    Article  PubMed  CAS  Google Scholar 

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© 2009 Higher Education Press, Beijing and Springer-Verlag GmbH Berlin Heidelberg

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Lai, M., Zhao, Z., Chen, J. (2009). Intraepithelial Neoplasia of the Digestive Tract. In: Lai, M. (eds) Intraepithelial Neoplasia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-85453-1_2

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  • DOI: https://doi.org/10.1007/978-3-540-85453-1_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-85452-4

  • Online ISBN: 978-3-540-85453-1

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