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Abstract. Low-grade dysplasia in Barrett esophagus remains an ongoing challenge in clinical management. Recent studies suggest an increased risk in progression of low-grade dysplasia to high-grade dysplasia and/or adenocarcinoma.
- Low grade dysplasia in Barrett’s esophagus: Should we worry?
Core tip: Low-grade dysplasia (LGD) in Barrett’s esophagus...
- Low grade dysplasia in Barrett’s esophagus: Should we worry?
Core tip: Low-grade dysplasia (LGD) in Barrett’s esophagus (BE) is an important entity and poses a significant risk of progression to esophageal adenocarcinoma. With the emergence of endoluminal therapy over the past decade there has been a paradigm shift in the management of LGD.
1 paź 2016 · The purpose of this clinical practice update expert review is to define the key principles in the diagnosis and management of low-grade dysplasia (LGD) in Barrett’s esophagus patients. The best practices outlined in this review are based on relevant publications, including systematic reviews and expert opinion (when applicable).
8 lut 2023 · Low-grade dysplasia is considered the early stage of precancerous changes. If low-grade dysplasia is found, it should be verified by an experienced pathologist. For low-grade dysplasia, your doctor may recommend another endoscopy in six months, with additional follow-up every six to 12 months.
Any degree of dysplasia in Barrett's esophagus is a risk factor for developing esophageal cancer (adenocarcinoma). However, high-grade dysplasia has an increased risk of progression to cancer compared to low-grade dysplasia.
Low-grade dysplasia means that some of the cells look abnormal. These cells may look like cancer cells in some ways, but unlike cancer, they don’t have the ability to spread to other parts of your body.
This recommendation is appropriate for low-grade dysplasia as well as high-grade dysplasia and intramucosal cancer; ablative therapy should not be routinely applied to patients with nondysplastic Barrett esophagus.