A 60-year-old male with a history of coronary artery disease and Barrett disease completes a surveillance upper endoscopy. A 1-cm flat plaque is identified with pathology confirming low-grade dysplasia (LGD). Endoscopic ultrasound shows no lymphadenopathy and the tumor is confined to the mucosa. What is an appropriate next step in treatment? A. Photodynamic therapy B. Neoadjuvant chemotherapy C. Transhiatal esophagectomy D. Repeat endoscopic surveillance with biopsy in 1 year
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