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Gastroenterology (Expert Forum)
Barret Dysplasia. Pathologist Diagnosis
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Barret Dysplasia. Pathologist Diagnosis
by tstory, Dec 04, 2001 12:00AM
I have recently been diagnosed with the following:
Esophagus: Mucosa of type gastric compatible with barret esophagus. Dysplasia of type moderate.
QUESTION: The pathology report does not mention "specialized intestinal metaplasia", only that he has seen Gastric Mucosa, compatible with barret esophagus".
I have read in various documents on the net that "Only specialized intestinal metaplasia of the esophagus has been shown to be pre-malignant and warrant periodic endoscopic cancer surveillance"
However, in the pathology report, it mentions a moderate dysplasia. IS IT POSIBLE TO HAVE DYSPLASIA WITH GASTRIC MUCOSA BUT NO SPECIALIZED INTESTINAL METAPLASIA"
I am very confused and worried about this diagnose. After reading up on this, I went back to the doctor and asked to define moderate dysplasia and the length of the barret. He returned saying that it was:
Short Segment Barret
Low grade Dysplasia
I asked if in fact this was BARRETT since it did not mention SPECIALIZED INTESTINAL METAPLASIA. He hesitated and told me it was BARRETT.
The QUSTIONS I HAVE ARE MANY, HOWEVER, DOES ANYBODY KNOW IF DYSPOLASIS IS ONLY RELATED TO SPECIALIZED INTESTINAL METAPLASIA or can you have DYSPLASIA WITH CARIA AND FUNDIC MUCOSA
Thanks for your help
Esophagus: Mucosa of type gastric compatible with barret esophagus. Dysplasia of type moderate.
QUESTION: The pathology report does not mention "specialized intestinal metaplasia", only that he has seen Gastric Mucosa, compatible with barret esophagus".
I have read in various documents on the net that "Only specialized intestinal metaplasia of the esophagus has been shown to be pre-malignant and warrant periodic endoscopic cancer surveillance"
However, in the pathology report, it mentions a moderate dysplasia. IS IT POSIBLE TO HAVE DYSPLASIA WITH GASTRIC MUCOSA BUT NO SPECIALIZED INTESTINAL METAPLASIA"
I am very confused and worried about this diagnose. After reading up on this, I went back to the doctor and asked to define moderate dysplasia and the length of the barret. He returned saying that it was:
Short Segment Barret
Low grade Dysplasia
I asked if in fact this was BARRETT since it did not mention SPECIALIZED INTESTINAL METAPLASIA. He hesitated and told me it was BARRETT.
The QUSTIONS I HAVE ARE MANY, HOWEVER, DOES ANYBODY KNOW IF DYSPOLASIS IS ONLY RELATED TO SPECIALIZED INTESTINAL METAPLASIA or can you have DYSPLASIA WITH CARIA AND FUNDIC MUCOSA
Thanks for your help
