BACKGROUND: Brush cytology and histology have been found to be complementary in the evaluation of @entity355 at a referral medical center. This study evaluated the usefulness of brush cytology and histology in a community hospital setting. METHODS: One hundred consecutive @entity1 with @entity355 underwent esophagogastroscopy performed by four staff gastroenterologists. Four quadrant biopsy specimens for histopathology at 3-cm intervals throughout the Barrett's segment and one brushing for cytology were obtained. All specimens were interpreted by four board-certified staff pathologists in a blinded fashion. RESULTS: Histologic diagnosis included three @entity420 , one high-grade @entity1141 , six @entity258 , and one indeterminate @entity1141 . Cytology diagnosed the same three @entity420 , no high-grade @entity1141 , three @entity258 , and two indeterminate @entity1141 . The case of high-grade @entity1141 on histology was diagnosed as normal by cytology. The six @entity1 found to have @entity258 by histology were found to have @entity258 (3), indeterminate @entity1141 (2), and no abnormality (1) by cytology. In no case was a higher grade of @entity1141 diagnosed by cytology than by histology. CONCLUSION: Adding brush cytology to histology increased the cost but not the diagnostic yield in the evaluation of @entity355 in a community hospital setting.

Usefulness of cytopathology and histology in the evaluation of XXXX in a community hospital.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity355 :: ('MESH:D001471', 'Disease') :: ["Barrett's esophagus"] @entity258 :: ('MESH:D009800', 'Disease') :: ['low-grade dysplasias', 'low-grade dysplasia'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinomas'] @entity1141 :: ('MESH:C535662', 'Disease') :: ['dysplasia', 'dysplasias']
@entity355 :: (MESH:D001471,Disease) :: ['Barrett's esophagus']
