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.
Preview
Unable to display preview. Download preview PDF.
References
Driemel O, Kunkel M, Hullmann M et al (2007) Diagnosis of oral squamous cell carcinoma and its precursor lesions. JDDG (Band 5) p1–6
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
Warnakulasuriya S (2001) Histological grading of oral epithelial dysplasia: revisited. J Pathol 194:294–297
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
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
Mashberg A (1977) Erythroplakia vs leukoplakia in the diagnosis of early asymptomatic oral squamous cell carcinoma. N Eng J Med 297:109–110
Reichart PA, Philipsen HP (2005) Oral erythroplakia — a review. Oral Oncol 41:551–561
Shafer WG, Waldron CA (1975) Erythroplakia of the oral cavity. Cancer 36:1021–1028
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
Williamson JJ (1964) Erythroplakia of Queyrat of the buccal mucous membrane. Oral Surg Oral med Oral Pathol 17:308–318
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
Lippman SM, Sudbø J, Hong WK (2005) Oral cancer prevention and the evolution of molecular-targeted drug development. J Clin Oncol 23:346–356
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
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
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
Qiu SL, Yang GR (1988) Precursor lesions of esophageal cancer in high risk populations in Henan Province, China. Cancer 62:551–557
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
Kuwano H, Matsuda H, Matsuoka H et al (1987) Intra-epithelial carcinoma concomitant with esophageal squamous squamous cell carcinoma. Cancer 59:783–787
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
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
Goldblum JR (2003) Barrett’s esophagus and Barrett’s-related dysplasia. Mod Pathol 16:316–324
Mueller J, Werner M, Stolte M (2004) Barrett’s esophagus: histopathologic definitions and diagnostic criteria. World J Surg 28:148–154
Barrett NR (1950) Chronic peptic ulcer of the esophagus and “oesophagitis.” Br J Surg 38:175–182
Paull A, Teier JS, Dalton MD et al (1976) The histologic spectrum of Barrett’s esophagus. N Eng J Med 295:476–480
Rothery GA, Patterson JE, Stoddard CJ et al (1986) Histological and histochemical changes in the columnar lined (Barrett’s) oesophagus. Gut 27:1062–1068
Hayward J (1961) The lower end of the esophagus. Thorax 16:36–41
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
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
Prach AT, MacDonald TA, Hopwood DA et al (1997) Increasing incidence of Barrett’s esophagus: education, enthusiasm or epidemiology? Lancet 350:933
Peters JH, Hagen JA, Demeester SR (2004) Barrett’s esophagus. J Gastrointestinal Surg 8:1–7
Weinstein WM, Ippoliti AF (1996) The diagnosis of Barrett’s esophagus: goblets, goblets, goblets. Gastrointest Endosc 44:91–95
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
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
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
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
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
Dixon MF (2002) Gastrointestinal epithelial neoplasia: Vienna revisited. Gut 51:130–131
Hamilton SR, Aaltonen LA (2000) World Health Organization. Pathology and Genetics of Tumours of the Digestive System. IARC Press, Lyon
Misdraji J, Lauwers GY (2002) Gastric epithelial dysplasia. Semin Diagn Pathol 19:20–30
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
Anwar S, White J, Hall C et al (1999) Sporadic colorectal polyps: management options and guidelines. Scand J Gastroenterol 34:4–11
Watson AJ, Smith BB, Whitehead MR et al (2006) Malignant progression of anal intraepithelial neoplasia. ANZ J Surg 76:715–717
Abbasakoor F, Boulos PB (2005) Anal intraepithelial neoplasia. Br J Surg 92:277–290
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Higher Education Press, Beijing and Springer-Verlag GmbH Berlin Heidelberg
About this chapter
Cite this chapter
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
Download citation
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