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(→Juvenile polyp vs. solitary rectal ulcer: new section) |
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===Final diagnosis=== | ===Final diagnosis=== | ||
Polyp, ascending colon, polypectomy - Juvenile polyp. | Polyp, ascending colon, polypectomy - Juvenile polyp. | ||
== Juvenile polyp vs. solitary rectal ulcer == | |||
===Microscopic description=== | |||
The section shows benign goblet cell-rich colonic-type mucosa adjacent to a vascular polypoid lesion with a dense inflammatory infiltrate (consisting of plasma cells, lymphocytes and eosinophils). There are two large dilated glands within the polypoid lesion. No surface epithelium covers the polypoid lesion. Benign bone is seen at the base of the lesion, adjacent to normal colonic-type mucosa. | |||
===Final diagnosis=== | |||
Polyp, rectum, biopsy - Benign pseudopolyp with dense inflammatory infiltrate and dilated glands, favour juvenile polyp, see comment. | |||
====Comment==== | |||
The histomorphologic features in this specimen are those of a benign, chronic process; however, they are not distinctive. They are compatible with (1) a juvenile polyp, (2) a polypoid solitary rectal ulcer, and (3) an inflammatory pseudopolyp. As an inflammatory pseudopolyp is in the pathologic differential diagnosis, inflammatory bowel disease should be considered clinically. |
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