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With this evolution towards figless invasive therapy, the choice of therapy hinges upon the pathological assessment for risk stratifying patients into those with low risk for nodal metastasis who can continue with less invasive endoscopic therapies and others with high risk for nodal metastasis for which surgery or other forms of treatment are indicated. Detection and confirmation of neoplasia in the first instance depends upon endoscopic and pathological assessment. Endoscopic examination and biopsy sampling should be performed according to the recommended protocols, and endoscopic biopsy interpretation should be performed applying standard criteria using appropriate ancillary studies by histopathologists experienced in the pathology of Barrett\u2019s disease. Endoscopic resections (ERs) are both diagnostic and curative and should be performed by clinicians who are skilled with advanced endoscopic techniques. Proper preparation and handling of ERs are essential to assess histological parameters that dictate the curative nature of the procedure. Those parameters are adequacy of resection and risk of lymph node metastasis. The risk of lymph node metastasis is determined by depth invasion and presence of poor differentiation and lymphovascular invasion. Those adenocarcinomas with invasion up to muscularis mucosae (pT1a) and those with superficial submucosal invasion (pT1b) up to 500\u00a0\u00b5 with no poor differentiation and lymphovascular invasion and negative margins may be considered cured by endoscopic resections.<\/jats:p>","DOI":"10.1111\/his.14285","type":"journal-article","created":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T15:49:41Z","timestamp":1609429781000},"page":"18-38","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The modern management of Barrett\u2019s oesophagus and related neoplasia: role of pathology"],"prefix":"10.1111","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9272-6700","authenticated-orcid":false,"given":"M Priyanthi","family":"Kumarasinghe","sequence":"first","affiliation":[{"name":"PathWest and Clinipath Laboratories and Sir Charles Gairdner Hospital QEII Medical Centre Perth 6009 WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Armstrong","sequence":"additional","affiliation":[{"name":"PathWest and Clinipath Laboratories and Sir Charles Gairdner Hospital QEII Medical Centre Perth 6009 WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Foo","sequence":"additional","affiliation":[{"name":"PathWest and Clinipath Laboratories and Sir Charles Gairdner Hospital QEII Medical Centre Perth 6009 WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spiro C","family":"Raftopoulos","sequence":"additional","affiliation":[{"name":"PathWest and Clinipath Laboratories and Sir Charles Gairdner Hospital QEII Medical Centre Perth 6009 WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,31]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.12913"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103042"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197608262950904"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000000971"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djr203"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dote.12151"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000000350"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2008.06.008"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000000601"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2017.36"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365520701420735"},{"key":"e_1_2_17_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-861352"},{"key":"e_1_2_17_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-305372"},{"key":"e_1_2_17_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000000654"},{"key":"e_1_2_17_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01746.x"},{"key":"e_1_2_17_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2000.02002.x"},{"key":"e_1_2_17_18_1","doi-asserted-by":"crossref","first-page":"2333\u20131340; quiz","DOI":"10.1111\/j.1572-0241.2008.02020.x","article-title":"Poor interobserver agreement in the distinction of high\u2010grade dysplasia and adenocarcinoma in pretreatment Barrett\u2019s esophagus biopsies","volume":"103","author":"Downs\u2010Kelly E","year":"2008","journal-title":"Am. 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