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- NEGATIVE for intestinal metaplasia. | - NEGATIVE for intestinal metaplasia. | ||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | - NEGATIVE for dysplasia and NEGATIVE for malignancy. | ||
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===IELs in duodenum=== | |||
<pre> | |||
A. Duodenum, Biopsy: | |||
- Small bowel mucosa with increased intraepithelial lymphocytes, villous | |||
architecture and crypt architecture within normal limits, see comment. | |||
- NEGATIVE for acute duodenitis. | |||
- NEGATIVE for dysplasia. | |||
B. Stomach, Biopsy: | |||
- Body-type gastric mucosa with moderate chronic active inflammation | |||
and abundant HELICOBACTER-LIKE ORGANISMS. | |||
- NEGATIVE for intestinal metaplasia. | |||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
COMMENT: | |||
Increased intraepithelial lymphocytes are a nonspecific finding. They are seen in celiac disease; however, may be explained by the Helicobacter-like organisms | |||
in this case. Follow-up or serology is suggested exclude the possibility of celiac disease. | |||
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