Talk:Esophagus

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Revision as of 20:25, 19 January 2011 by Michael (talk | contribs) (→‎IBD?)
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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 a mild neutrophilic and lymphoplasmacytic infiltration of the lamina propria 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.