Esophageal cytology may improve sensitivity for the detection of malignancy but can be difficult to interpret in the presence of @entity32 . To assess the value of cytology in assessing @entity1 with @entity355 a retrospective review was performed. One hundred and sixty two @entity1 (87 esophageal/gastroesophageal junction @entity420 , 65 non- @entity355 and 10 @entity355 ) had biopsies and brushings taken for histological and cytological assessment. Eighty two of 92 @entity1 with @entity189 or high-grade @entity1141 had true positive malignant cytology. Seven of 65 @entity1 with non- @entity6349 but inflamed @entity355 had false positive malignant cytology. One of these @entity1 had an esophagectomy on the basis of cytology but no @entity5 was found in the resection specimen. This translates into an 89% sensitivity and specificity of cytology for the detection of esophageal columnar @entity5 . Cytology from @entity355 can be misleading in the presence of severe @entity32 . Cells from a benign Barrett's @entity1066 may appear frankly malignant when examined in isolation. Esophagectomy should not be performed on the basis of cytological evidence alone.

Brush cytology in the diagnosis of @entity5 in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity355 :: ('MESH:D001471', 'Disease') :: ["dysplastic Barrett's esophagus", "Barrett's esophagus"] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'neoplasia'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcer'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma'] @entity6349 :: ('MESH:D004416', 'Disease') :: ['dysplastic'] @entity1141 :: ('MESH:C535662', 'Disease') :: ['dysplasia']
@entity355 :: (MESH:D001471,Disease) :: ['Barrett's esophagus']
