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== Helicobacter == | |||
===Microscopic description=== | |||
A. The sections shows normal small bowel mucosa without Brunner's glands.<br> | |||
B. The sections shows normal small bowel mucosa with Brunner's glands.<br> | |||
C. The sections show antral-type gastric mucosa with many Helicobacter organisms and a mild-to-moderate mixed inflammatory infiltrate including, plasma cells, neutrophils and lymphocytes. No dysplasia is identified. A large histomorphologically benign lymphoid nodule is present, that has a well-developed germinal center.<br> | |||
D. The sections show body-type gastric mucosa with many Helicobacter organisms and a moderate mixed inflammatory infiltrate including, plasma cells, neutrophils and lymphocytes. No dysplasia is identified. <br> | |||
E. The sections show normal esophageal-type mucosa. <br> | |||
F. The sections show antral-type gastric mucsoa and submucosal glands with abundant Helicobacter organisms and a moderate mixed inflammatory infiltrate including, plasma cells, neutrophils and lymphocytes. No dysplasia is identified. | |||
===Final diagnosis=== | |||
A. Duodenum, biopsy - no pathology. <br> | |||
B. Duodenum, cap, biopsy - no pahtology. <br> | |||
C. Stomach, antrum, biopsy - <br> | |||
: i) Helicobacter gastritis, moderate. <br> | |||
: ii) morphologically benign lymphoid nodule. <br> | |||
D. Stomach, body, biopsy - Helicobacter gastritis, moderate. <br> | |||
E. Esophagus, distal, biopsy - no pathology. <br> | |||
F. Stomach, pyloric nodule, biopsy - Helicobacter gastritis, severe. | |||
==Body versus antrum== | |||
*G cells = 1 antrum. | |||
*Villi = 1/2 antrum. | |||
*Abundant parietal cells = 1 body. | |||
== Post-MALToma == | |||
<pre> | |||
STOMACH, BIOPSY: | |||
- ANTRAL-TYPE GASTRIC MUCOSA WITH FOCAL MINIMAL CHRONIC INACTIVE INFLAMMATION, A | |||
MILDLY EXPANDED PREDOMINANTLY FIBROTIC LAMINA PROPRIA, AND FOCAL GLAND TORTUOSITY. | |||
- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS. | |||
- NEGATIVE FOR INTESTINAL METAPLASIA. | |||
- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY. | |||
</pre> | |||