Korean J Gastroenterol.  2021 Sep;78(3):195-198. 10.4166/kjg.2021.114.

Esophageal Lichen Planus with Dysplasia

• Jeong HM
• Bang CS

• KMID: 2520362
• DOI: http://doi.org/10.4166/kjg.2021.114

Figure

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  Fig. 1 Initial esophagogastroduodenoscopy findings. Slightly depressed mucosal lesion on the lower esophagus (arrow).

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  Fig. 2 Second esophagogastroduodenoscopy findings. (A) Detected lesion on white light imaging endoscopy (arrow). (B) On narrow-band imaging (arrow). (C) On chromoendoscopy image with Lugol’s solution staining (arrow).

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  Fig. 3 Histology findings of the biopsied specimen. Focal increased nucleo-cytoplasmic ratio indicating dysplasia (arrow) (H&E, ×200).

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  Fig. 4 Endoscopic ultrasound examination. A 6 mm sized isoechoic lesion was confined in the 1st layer of the esophageal wall.

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  Fig. 5 Images of endoscopic mucosal resection with a ligation procedure. (A) Mucosal lesion on lower esophagus. (B) Band ligation for the resection of the lesion. (C) Post resection ulcer on lower esophagus.

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  Fig. 6 Histology findings of the resected specimen. (A) Predominant lymphocytic infiltration in the basal layer indicating lichen planus (arrow) (H&E, ×100). (B) Reactive atypia with ulcer (arrow) (H&E, ×100). (C) Focal mid dysplasia (arrow) (H&E, ×100).

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