Difference between revisions of "Talk:Stomach"
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== Helicobacter == | == Helicobacter == | ||
===Microscopic description=== | ===Microscopic description=== | ||
A. The sections shows normal small bowel mucosa | A. The sections shows normal small bowel mucosa without Brunner's glands.<br> | ||
B. The sections shows normal small bowel mucosa | B. The sections shows normal small bowel mucosa with Brunner's glands.<br> | ||
C. The sections show antral-type gastric | 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> | 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> | E. The sections show normal esophageal-type mucosa. <br> | ||
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B. Duodenum, cap, biopsy - no pahtology. <br> | B. Duodenum, cap, biopsy - no pahtology. <br> | ||
C. Stomach, antrum, biopsy - <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> | D. Stomach, body, biopsy - Helicobacter gastritis, moderate. <br> | ||
E. Esophagus, distal, biopsy - no pathology. <br> | E. Esophagus, distal, biopsy - no pathology. <br> | ||
F. Stomach, pyloric nodule, biopsy -Helicobacter gastritis, severe. | 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> | |||
Latest revision as of 16:03, 21 January 2014
Helicobacter
Microscopic description
A. The sections shows normal small bowel mucosa without Brunner's glands.
B. The sections shows normal small bowel mucosa with Brunner's glands.
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.
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.
E. The sections show normal esophageal-type mucosa.
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.
B. Duodenum, cap, biopsy - no pahtology.
C. Stomach, antrum, biopsy -
- i) Helicobacter gastritis, moderate.
- ii) morphologically benign lymphoid nodule.
D. Stomach, body, biopsy - Helicobacter gastritis, moderate.
E. Esophagus, distal, biopsy - no pathology.
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
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.