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Prevalence of Asymptomatic Premalignant Oesophageal Lesions in Patients With Fanconi Anaemia: Prevalence of Asymptomatic Premalignant Oesophageal Lesions in Patients With Fanconi Anaemia

Research output: Contribution to journalArticlepeer-review

Abstract

Fanconi anaemia (FA), a rare genetic disorder of DNA repair, predisposes to squamous cell carcinomas of head, neck and oesophagus. We assessed the value of screening esophagogastroduodenoscopy (EGD) in 20 asymptomatic adults (median age 23.5, 65% female) with FA, compared to age-and sex-matched non-FA patients enrolled at a 3:1 ratio. Among 11 FA patients with abnormal oesophageal mucosa, 15% had low-grade dysplasia, nodular high-grade dysplasia or squamous carcinoma in situ, 10% had non-dysplastic Barrett's oesophagus and 30% had columnar epithelium without goblet cells, compared to none in the controls (p < 0.001). Our findings support routine EGD screening of asymptomatic FA patients.

Original languageEnglish (US)
Pages (from-to)939-943
Number of pages5
JournalAlimentary Pharmacology and Therapeutics
Volume62
Issue number9
DOIs
StatePublished - Nov 2025

Bibliographical note

Publisher Copyright:
© 2025 The Author(s). Alimentary Pharmacology & Therapeutics published by John Wiley & Sons Ltd.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Barrett's oesophagus
  • dysplasia
  • Fanconi anaemia
  • oesophageal squamous cell carcinoma

PubMed: MeSH publication types

  • Journal Article

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