Publication:
Pagetoid Squamous Cell Carcinoma In-Situ of Esophagus

creativeworkseries.issn1812-2027
dc.contributor.authorPriyadarshinee, A
dc.contributor.authorBhattacharya, B
dc.date.accessioned2026-01-06T07:22:57Z
dc.date.available2026-01-06T07:22:57Z
dc.date.issued2023
dc.descriptionPriyadarshinee A,1 Bhattacharya B2 1KIST Medical College and Teaching Hospital Imadol, Lalitpur, Nepal 2Samyak Pathology Lab New Baneshwor, Kathmandu, Nepal
dc.description.abstractABSTRACT Squamous cell carcinoma (SCC) is the most common malignant tumor of the esophagus, however, pagetoid SCCIS is an extremely rare condition in esophagus.1 Pagetoid Squamous Cell Carcinoma In-Situ (SCCIS) has been described in skin and external genitalia frequently.2 Herein we report a case of pagetoid squamous cell carcinoma in-situ in a 50-year-old male with clinical information, histopathological and immunohistochemical findings. The patient was a 50 years male with dyspepsia,refractory to proton pump inhibitors (PPIs). In upper gastroduodenal endoscopy, there was no obvious lesion in the esophagus and only mild erythema was noted. Biopsy showed a surprising finding of full thickness high grade squamous dysplasia in the lining squamous epithelium with scattered single large atypical cells. These cells were present away from the foci of dysplasia. The cells were large and showed marked pleomorphism, vesicular nuclei, prominent nucleoli and abundant pale to eosinophilic cytoplasm. Immunohistochemistry (IHC) was positive for p63 and p53, which confirmed the diagnosis of pagetoid SCCIS. Pagetoid squamous cell carcinoma in-situ is one of the rare entities with subtle clinical presentation and endoscopic findings. Evaluation of this case signifies the importance of taking biopsies in the lesions which shows minimal mucosal change in the endoscopy. KEY WORDS Dysplasia, Endoscopic esophageal biopsies, Immunohistochemistry, Pagetoid, Squamous cell carcinoma in-situ
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4085
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectDysplasia
dc.subjectEndoscopic esophageal biopsies
dc.subjectImmunohistochemistry
dc.subjectPagetoid
dc.subjectSquamous cell carcinoma in-situ
dc.titlePagetoid Squamous Cell Carcinoma In-Situ of Esophagus
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage341
oaire.citation.startPage340
relation.isJournalIssueOfPublicationd5d9c4fe-93e1-4b2c-8881-0edc27057501
relation.isJournalIssueOfPublication.latestForDiscoveryd5d9c4fe-93e1-4b2c-8881-0edc27057501
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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