Difference between revisions of "Talk:Ditzels"
(→Stoma: new section) |
(→Stoma: tweak) |
||
| Line 51: | Line 51: | ||
== Stoma == | == Stoma == | ||
===Microscopic description=== | ===Microscopic description=== | ||
The sections show mature squamous epithelium with parakeratosis, and colonic-type mucosa with focal lymphoid hyperplasia and reactive epithelial changes. The colonic-type mucosa has focal paneth cells, crypt dilation, mild crypt distortion and fibromuscular hyperplasia of the lamina propria. | The sections show mature squamous epithelium with parakeratosis, and colonic-type mucosa with focal lymphoid hyperplasia and reactive epithelial changes. The colonic-type mucosa has focal paneth cells, crypt dilation, mild crypt distortion and fibromuscular hyperplasia of the lamina propria and submucsoa. Foreign body-type granulomas (suture granulomas) are present in the lamina propria. Normal bowel wall smooth muscle is present. Ganglion cells are present. | ||
===Final diagnosis=== | ===Final diagnosis=== | ||
A. Sigmoid, excision - benign squamous epithelium and reactive colonic-type epithelium (consistent with stoma). | A. Sigmoid, excision - benign squamous epithelium and intestine wall with reactive colonic-type epithelium (consistent with stoma). | ||
Revision as of 13:03, 21 March 2011
Hernia sac - generic
Bolded text needs attention/modification.
Microscopic description
The section shows benign fibrofatty/fibrous tissue with a mesothelial lining.
Final diagnosis
Hernia sac, left/right, excision - hernia sac (left/right inguinal).
Hernia sac
Microscopic description
The section shows benign fibrous tissue with a mesothelial lining.
Final diagnosis
Hernia sac, left, excision - hernia sac (left inguinal).
Adhesive band (band of Ladd)
Microscopic description
The section shows benign vascular fibrous tissue.
Final diagnosis
Adhesive band, Ladd's procedure - vascular fibrous tissue consistent with bands of Ladd.
Granulation tissue
Microscopic description
The section shows edematous, well-vascularized fibrous tissue with abundant plasma cells and abundant neutrophils. At the center of the lesion are hemosiderin-laden macrophages and at the periphery multi-nucleated giant cells. No foreign material was identified with polarization.
Final diagnosis
Granuloma, left ear, excision - inflammed granulation tissue.
Keratinaceous debris (cholesteatoma)
Microscopic description
The section shows keratinaceous debris. There are no viable cells.
Final diagnosis
Soft tissue, left ear ("left ear keratosis"), excision - keratinaceous debris.
Cholesteatoma 1
Microscopic description
The section shows lamellar keratin, abundant reactive histiocytes and multinucleated giant cells. Lymphocytes and plasma cells are present. There is dystrophic calcification. Fragments of bone are seen.
Final diagnosis
Soft tissue, left ear ("left ear keratosis"), excision - keratinaceous debris and inflammation (consistent with cholesteatoma).
Cholesteatoma 2
Microscopic description
The section shows lamellar keratin, a fragment of squamous epithelium and fragments of bone. No significant inflammation is identified.
Final diagnosis
Soft tissue, left ear ("left ear keratosis"), excision - keratinaceous debris, squamous epithelium and bone (consistent with cholesteatoma).
Stoma
Microscopic description
The sections show mature squamous epithelium with parakeratosis, and colonic-type mucosa with focal lymphoid hyperplasia and reactive epithelial changes. The colonic-type mucosa has focal paneth cells, crypt dilation, mild crypt distortion and fibromuscular hyperplasia of the lamina propria and submucsoa. Foreign body-type granulomas (suture granulomas) are present in the lamina propria. Normal bowel wall smooth muscle is present. Ganglion cells are present.
Final diagnosis
A. Sigmoid, excision - benign squamous epithelium and intestine wall with reactive colonic-type epithelium (consistent with stoma).