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Journal of Clinical Pathology 2005;58:1325-1327; doi:10.1136/jcp.2005.026807
Copyright © 2005 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

CASE REPORT

A "crackleware" oesophagus

M Westerterp1, O R C Busch1, J J G H M Bergman2, F J W ten Kate3 and J J B van Lanschot1

1 Department of Surgery, Academic Medical Centre/University of Amsterdam, Suite G4-123, Meibergdreef 9, 1105 AZ, The Netherlands
2 Department of Gastroenterology, Academic Medical Centre/University of Amsterdam
3 Department of Pathology, Academic Medical Centre/University of Amsterdam

Correspondence to:
Correspondence to:
Dr M Westerterp
Department of Surgery, Academic Medical Centre/University of Amsterdam, Suite G4-123, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands; m.westerterp{at}AMC.UVA.NL

ABSTRACT

This case report describes a 70 year old woman with excessive diffuse keratinisation of the oral cavity and oesophagus harbouring a squamous cell carcinoma. This excessive diffuse keratinisation of normally non-keratinised squamous epithelium could not be identified in normally non-keratinised epithelia in other parts of the body (the vagina), arguing against a genetic basis for this disorder. The term "crackleware" oesophagus was used to describe this entity, which has not been described previously in the English literature.

Abbreviations: CK, cytokeratin

Keywords: cytokeratins; hyperkeratosis; oesophagus; pancreatic metaplasia; squamous cell carcinoma


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