IntroductionEsophageal epithelial lesions are important early indicators of esophageal cancer. Esophageal epithelial lesions include inflammatory reactive IR lesions and neoplastic lesions. Abstract : Esophageal epithelial lesions are important features with respect to the early diagnosis of esophageal cancer. Such lesions include in ammatory reactive lesions in ammatory reactions, IR and neoplastic lesions. However, while neoplastic lesions are also classi ed from low-grade intraepithelial neoplasia LN to high-grade intraepithelial neoplasia HN , it is often difficult to differentiate esophageal epithelial lesions in a biopsy. Therefore, this study analyzed cases of endoscopic mucosal resection EMR and dissection by immunostaining for p53, MIB-1, glucose transporter-1 GLUT-1 , and cytokeratin CK in addition to cytohistological grading to establish lesions trends for classi cation. This study included 50 lesions of EMR performed at our hospital from 2004 to 2007, as well as 31 cases who underwent a pathological autopsy at our hospital during the period between 2006 and 2007. Tissue diagnoses by HE staining classi ed the specimens into ve groups: normal, IR, LN, HN, and squamous cell cancer SCC . This study undertook further comparison by immunostaining for p53, Ki-67 staining, GLUT-1 and CKs 17 and 14. All immunostaining revealed a signi cant difference between IR and LN grade of lesions. Speci cally, GLUT-1 staining revealed a signi cant difference between LN and HN lesions, while CK17 staining differentiated signi cantly between HN and SCC. The ndings indicated that pathological diagnoses of esophageal lesions should include GLUT-1, CK17, and CK14 immunostaining to differentiate LN and HN lesions.