Difference between revisions of "Talk:Esophagus"
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==IBD?== | ==IBD?== | ||
===Microscopic=== | ===Microscopic=== | ||
A. The sections show small bowel mucosa and Brunner's glands with focal neutrophilic infiltration of the epithelium. No granulomas are identified. | A. The sections show small bowel mucosa and Brunner's glands with focal neutrophilic infiltration of the epithelium. No granulomas are identified.<br> | ||
B. The sections show antral-type gastric mucosa with a mild, and focally moderate, inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified. | B. The sections show antral-type gastric mucosa with a mild, and focally moderate, inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified.<br> | ||
C. The sections show body-type gastric mucosa with a mild inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified. | C. The sections show body-type gastric mucosa with a mild inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified.<br> | ||
D. The sections show non-keratinized stratified squamous epithelium without significant inflammation and normal maturation to the free surface. There is a mild neutrophilic and lymphoplasmacytic infiltration of the lamina propria adjacent to the basal layer of the epithelium. No granulomas are identified. | D. The sections show non-keratinized stratified squamous epithelium without significant inflammation and normal maturation to the free surface. There is edema and a mild neutrophilic and lymphoplasmacytic infiltration of the lamina propria, which is more prominent adjacent to the basal layer of the epithelium. No granulomas are identified. | ||
===Final diagnosis=== | ===Final diagnosis=== | ||
A. Duodenum, biopsy - Mild focal acute inflammation, see comment. | A. Duodenum, biopsy - Mild focal acute inflammation, see comment. | ||
Revision as of 20:28, 19 January 2011
Normal
Microscopic
A. The sections shows normal small bowel mucosa with Brunner's glands. B. The sections show normal antral-type gastric mucsoa. C. The sections show normal body-type gastric mucosa. D. The sections show normal esophageal-type mucosa.
Final diagnosis
A-D. Duodenum, gastric antrum, gastric body, esophagus; biopsies (x4) - no pathology.
IBD?
Microscopic
A. The sections show small bowel mucosa and Brunner's glands with focal neutrophilic infiltration of the epithelium. No granulomas are identified.
B. The sections show antral-type gastric mucosa with a mild, and focally moderate, inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified.
C. The sections show body-type gastric mucosa with a mild inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified.
D. The sections show non-keratinized stratified squamous epithelium without significant inflammation and normal maturation to the free surface. There is edema and a mild neutrophilic and lymphoplasmacytic infiltration of the lamina propria, which is more prominent adjacent to the basal layer of the epithelium. No granulomas are identified.
Final diagnosis
A. Duodenum, biopsy - Mild focal acute inflammation, see comment. B. Stomach, antrum, biopsy - Mild chronic active inflammation with focal moderate chronic active inflammation, see comment. C. Stomach, body, biopsy - Mild chronic active inflammation, see comment. D. Esophagus, distal, biopsy - Focal chronic subepithelial inflammation, see comment.
Comment
The histomorphologic findings are compatible with inflammatory bowel disease. There are no histomorphologic findings to suggest an infective etiology; however, this cannot be definitely excluded.