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NASOPHARYNGEAL CARCINOMA
squamous cell carcinoma
male incidence
high incidence in Southeast Asia
aetiology of nasopharyngeal carcinoma
EBV
diets that have high nitroamine like fermented and salted food
hereditary , age
smoking and chemical fumes
histological appearance of nasopharyngeal carcinoma
non keratinizing SCC
undifferentiated carcinoma
keratinizing SCC
keratin pearl
intercellular bridge
BARRET’S ESOPHAGUS
esophagus is ;lined by stratified squamous epithelium
definition → complication of chronic GERD that is characterized by intestinal metaplasia withing squamous epithelium
intestinal metaplasia → columnar epithelium + goblet cell
aetiopathogenesis → chronic GERD
clinical significance → premalignant condition
risk factor → smoking, obesity, male
location → lower third of esophagus p
explain clinical importance of Barret’s esophagus
precursor to esophageal carcinoma
screening and surveillance → regular endoscopic monitoring
gross features of barrets esophagus
tongue/ patches of red
microscopic features of barrets esophagus
intestinal metaplasia
columnar epithelium + goblet cells
low and high grade dysplasia