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High-Grade Squamous Intraepithelial Lesion of the Gastroesophageal Junction Secondary to High-Risk Human Papillomavirus
Journal article   Open access   Peer reviewed

High-Grade Squamous Intraepithelial Lesion of the Gastroesophageal Junction Secondary to High-Risk Human Papillomavirus

Edward B Stelow, Erik A Dill, Jonathan J Davick, Michael B McCabe and Vanessa M Shami
American journal of clinical pathology, Vol.152(3), pp.359-364
08/01/2019
DOI: 10.1093/ajcp/aqz039
PMID: 31216362
url
https://doi.org/10.1093/ajcp/aqz039View
Published (Version of record) Open Access

Abstract

Although the role of human papillomavirus (HPV) in the development of some carcinomas (eg, anogenital and oropharyngeal squamous cell carcinomas) is nondebatable, there is still significant controversy regarding the relationship of HPV and esophageal squamous cell carcinomas (SCCs). All cases were sampled at or near the gastroesophageal junctions in patients with reflux and/or known Barrett esophagus and appear to have been initially sampled "incidentally." Patients were all men, aged 56 to 80 years. None had a known history of other HPV-related disease. We present four cases of high-grade squamous intraepithelial lesion of the gastroesophageal junction secondary to high-risk HPV that have identical histologic features to similar lesions of the anogenital tract. Whether such lesions are at risk for developing into invasive SCC remains unclear.
Aged, 80 and over Esophageal Diseases - pathology Esophageal Diseases - virology Esophagogastric Junction - pathology Esophagogastric Junction - virology Humans Male Middle Aged Papillomaviridae Papillomavirus Infections - complications Squamous Intraepithelial Lesions - pathology Squamous Intraepithelial Lesions - virology

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