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Pathology of Premalignant and Malignant Disease of the Esophagus

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Abstract

Like most structures of the alimentary canal, the esophagus is a tubular muscular structure that contains a mucosa, submucosa, muscularis propria, and surrounding connective tissue (termed adventitia in the esophagus). Anatomically, the esophagus extends from the cricopharyngeal muscle, which forms the upper esophageal sphincter, to the lower esophageal junction, where the stomach originates. Histologically, the mucosa consists of a stratified non-keratinizing squamous epithelium, lamina propria, and muscularis mucosae. The squamous epithelium sits atop a basement membrane that separates it from the lamina propria. The lamina propria is composed of loose fibroconnective tissue, lymphatic spaces, and capillary vessels. The muscularis mucosae is a thin muscular layer that separates the mucosa from the submucosa. The submucosa is composed of dense irregular fibrovascular connective tissue admixed with scattered mucin-producing glands (esophageal submucosal glands) and ducts, which aid in the passage of food.

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Correspondence to Brian S. Robinson MD, PhD .

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Robinson, B.S., Adsay, N.V., Krasinskas, A.M. (2015). Pathology of Premalignant and Malignant Disease of the Esophagus. In: Saba, N., El-Rayes, B. (eds) Esophageal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-20068-2_3

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  • DOI: https://doi.org/10.1007/978-3-319-20068-2_3

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