If you have been told you
have Barrett's esophagus or dysplasia (pre-cancerous tissue) in Barrett's
esophagus, you may wish to have a second opinion on your slides. Since
many pathologists have limited experience with interpreting these biopsies,
it is often recommended that a second opinion be sought before a patient
undergoes treatment, especially when dysplasia is identified. In fact,
the inter-observer agreement (agreement on the diagnosis between pathologists)
for the diagnosis of low-grade dysplasia is only about 70%.
team of Gastrointestinal Pathologists at Johns Hopkins
experience with interpretation of slides from patients with diseases
of the esophagus.
Dr. Elizabeth Montgomery headed a large national study concerning the interpretation of slides with Barrett's esophagus [ View Study Results ].
Dr. John Yardley is a senior Gastrointestinal Pathologist with extensive experience in diseases of the esophagus.
Patients whose slides have been reviewed at another laboratory who would like a second opinion at Johns Hopkins may obtain their slides and send them or have the laboratory send them directly to Johns Hopkins. If send them yourself, be sure to include the report from the other laboratory. This report contains a code number (called the surgical pathology accession number) for the slides that must be matched with the microscope slides to assure that the slides are indeed from you!
Slides and reports may be sent to:
Reports are faxed within a few days of receipt of the slides.
Johns Hopkins Medical Institutions
Anatomic Pathology Consult Service
1620 McElderry St.
Reed Hall Rm 315
Baltimore, MD 21205
Attn: Dr. Elizabeth Montgomery
Consult Office phone: 410-955-2405
Consult Office fax: 410-614-7712
Dr. Elizabeth Montgomery completed her MD degree at George Washington University in 1984. Following her pathology residency at Walter Reed Army Medical Center, she served at the Armed Forces Institute of Pathology until 1992, whereupon she joined the Pathology staff at Georgetown University with joint appointments in Pathology and Gastroenterology.
She is Board Certified in Anatomic Pathology, Clinical Pathology, and Cytopathology and has been on the Johns Hopkins faculty since 1999, specializing in Gastrointestinal Pathology. She is an author of many scholarly publications on gastrointestinal and esophageal pathology and has lectured nationally and internationally on these topics.
Dr. Montgomery collaborates with Dr. Arlene Forastiere and Dr. Elisabeth Heath in the Department of Medical Oncology and with Dr. Marcia Canto in the division of Gastroenterology on Barrett's esophagus clinical trials.