Pathology of Mouth and Oesophagus

Question 1

Which is more common, acute or chronic oesophagitis?

Answer 1

Chronic

Question 2

Is there increased or decreased intra-abdominal pressure in chronic oesophagitis?

Answer 2

Increased

Question 3

What happens histologically in chronic oesophagitis?

Answer 3

Basal zone epithelial expansion and intraepithelial neutrophils, lymphocytes and eosinophils

Question 4

What cell type change occurs in Barrett’s oesophagus?

Answer 4

metaplasia of stratified squamous epithelium to columnar epithelium

Question 5

What is the mucosa like in the lower oesophagus in Barrett’s?

Answer 5

red, velvety

Question 6

What type of patient does allergic oesophagitis typically occur in?

Answer 6

Young, asthmatic male

Question 7

What is the appearance of the oesophagus in allergic oesophagitis?

Answer 7

corrugated (feline) and spotty

Question 8

How can allergic oesophagitis be treated?

Answer 8

Steroids, montelukast, chromoglycate

Question 9

Are squamous cell carcinomas in the oesophagus commoner in males or females?

Answer 9

Males

Question 10

Deficiency of what can lead to squamous cell carcinomas?

Answer 10

Vitamin A/Zinc

Question 11

Where about in the oesophagus do adenocarcinomas tend to occur?

Answer 11

Lower 1/3