Biomarkers of High Grade Dysplasia in Barrett's Esophagus

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Surveillance GuidelinesInitial screening of individuals with highest risk:white men over 50 with chronic symptoms of heartburnNo dysplasia- Every 2-3yrs after two negative endoscopiesLGD - Every 6mths for 1yr, then yearlyHGD- Second confirmation followed by surgery orevery 3mth surveillanceSurveillance = 4 quarter biopsies at 2cm intervals
Dysplasia in BEPitfalls• Sampling errors• Diagnostic interpretationreactive vs dysplasticlow-grade vs high gradehigh grade vs intramucosal ca
Page 1: Biomarkers of High GradeDysplasia i
Page 7: Barrett’s Esophagus• 5-15% of a
Page 12 and 13: Barrett’s Esophagus SequelaeUlcer
Page 14 and 15: Histopathologic Dx of DysplasiaDysp
Page 16 and 17: Dysplasia in Barrett’s Esophagus
Page 18: LGD
Page 23 and 24: Ancillary Techniques in theScreenin
Page 25 and 26: Advantages over other microarray st
Page 27 and 28: Specimen Evaluation40 cases (1-6 bl
Page 29 and 30: Biopsy of Normal BE
Page 31 and 32: Use of Aperio ScanScope for Remote
Page 33 and 34: BioinformaticsExpression signals no
Page 35: Dysregulated Genes in HGD by Functi
Page 38 and 39: CAMK2N1MUC5ACHSD17BPGDHAMEP1AALDOBA
Page 40 and 41: Topoisomerase II alpha
Page 42 and 43: S100-A9
Page 44 and 45: Immunohistochemical stains for topo
Page 46 and 47: Thanks to…….Patricia A. Meitner

Biomarkers of High Grade Dysplasia in Barrett's Esophagus

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