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. 2021 Aug 31;14(5):281–289. doi: 10.14740/gr1454

Table 1. Definitions of Histologic Features Evaluated in the Mucosal Biopsies.

Features Definition Cutoff value
Squamous
  Basal hyperplasia Thickening of basal layers of squamous epithelium Presence or absence
  Elongation of papillae Height of papillae > 50% of epithelium thickness Presence or absence
  Spongiosis Widening of intercellular spaces due to edema Presence or absence
  Ballooning degeneration Enlarged squamous cells with intracellular edema Presence or absence
  Parakeratosis Superficial layers of nucleated squamous cells with dense keratin Presence or absence
  Dysplasia Neoplastic squamous epithelium confined above the basement membrane Presence of absence
Inflammation within the squamous mucosa
  Peripapillary IEL IELs in the first five layers of squamous epithelium surrounding the esophageal papillae Number of IELs per high-power field in the most densely infiltrated fields
  Interpapillary IEL IELs in the squamous epithelium beyond the peripapillary regions Number of IELs per high-power field in the most densely infiltrated fields
  Neutrophil Neutrophils in squamous epithelium Presence or absence
  Eosinophil Eosinophils in squamous epithelium Number of eosinophils per high-power field in the most densely infiltrated fields
Columnar Glandular epithelium Presence or absence
  Intestinal metaplasia Goblet cells Presence or absence
  Glandular dysplasia Neoplastic glandular epithelium confined above the basement membrane Presence or absence
Subepithelial fibrosis Increased collagen deposition underneath the epithelium Presence or absence
Submucosal inflammation Inflammatory cells in the submucosa Presence or absence

IEL: intraepithelial lymphocytosis; IELs: intraepithelial lymphocytes.