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. Author manuscript; available in PMC: 2016 Oct 14.
Published in final edited form as: Oncogene. 2016 Feb 29;35(41):5337–5349. doi: 10.1038/onc.2016.34

Table 1. Elements of tumor initiation in EAC and ESCC.

GERD, gastroesophageal reflux disease; HPV, human papilloma virus

Factor EAC ESCC
Potential cell of origin Esophageal basal progenitor cells (via transdifferentiation or reprogramming)
and/or
Gastric cardia progenitor cells (via migration)
Esophageal basal progenitor cells
Precursor lesion Intestinal metaplasia (Barrett's esophagus) Squamous dysplasia
Location Distal third of esophagus Typically proximal two-thirds of esophagus
Risk exposures Age
Race (white > black)
Gender (males > females)
GERD
Obesity
Cigarette smoking (EAC < ESCC)
Diet (high red meat and processed foods; low fruit and vegetables)
Age
Race (black > white)
Gender (males > females)
Cigarette smoking (ESCC > EAC)
Alcohol
Nutritional deficiences
HPV infection
Tylosis palmaris et plantaris (inherited)