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Difference between revisions of "Esophagus"
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→Columnar dysplasia
(→Herpes esophagitis: +gross) |
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| Line 98: | Line 98: | ||
|- | |- | ||
|Normal | |Normal | ||
| matures | | '''matures''' | ||
| round glands | | round glands | ||
| no nuclear atypia | | no nuclear atypia | ||
| Line 109: | Line 109: | ||
| round glands, normal gland density | | round glands, normal gland density | ||
| +/-scant nuclear atypia | | +/-scant nuclear atypia | ||
| goblet cells | | '''goblet cells''' | ||
| clinical diagnosis | | clinical diagnosis | ||
| Image | | Image | ||
|- | |- | ||
|Indefinite for columnar dysplasia | |Indefinite for columnar dysplasia | ||
| | | minimal maturation ''or'' '''cannot see surface''' | ||
| round glands, normal gland density | | round glands, normal gland density | ||
| mild nuclear atypia, nuclear pseudostratification, no necrosis | | mild nuclear atypia, '''nuclear pseudostratification''', no necrosis | ||
| - | | - | ||
| follow-up | | follow-up | ||
| Line 124: | Line 124: | ||
| minimal-to-scant maturation | | minimal-to-scant maturation | ||
| round glands, +/-rare budding, increased gland density | | round glands, +/-rare budding, increased gland density | ||
| mild-to-moderate nuclear atypia, nuclear pseudostratification, no necrosis | | mild-to-moderate nuclear atypia, '''nuclear pseudostratification''', '''no necrosis''' | ||
| - | | - | ||
| follow-up | | follow-up | ||
| Line 131: | Line 131: | ||
|High-grade columnar dysplasia | |High-grade columnar dysplasia | ||
| no maturation | | no maturation | ||
| incr. density of irregular glands with budding and/or rare cribriforming and/or gland dilation | | '''incr. density of irregular glands''' with budding and/or rare cribriforming and/or gland dilation | ||
| moderate-to-marked nuclear atypia (usu. plump round nuclei), hyperchromasia, +/-necrosis | | moderate-to-marked nuclear atypia (usu. plump round nuclei), hyperchromasia, +/-necrosis | ||
| - | | - | ||
| Line 139: | Line 139: | ||
|Intramucosal adenocarcinoma | |Intramucosal adenocarcinoma | ||
| no maturation | | no maturation | ||
| single cells or back-to-back irregular glands with budding and/or cribriforming and/or gland dilation or glands with long axis along muscularis mucosae | | single cells or '''back-to-back irregular glands''' with budding and/or '''cribriforming''' and/or '''gland dilation''' or glands with long axis along muscularis mucosae | ||
| moderate-to-marked nuclear atypia - usu. round large nuclei, hyperchromasia, +/-necrosis | | moderate-to-marked nuclear atypia - usu. round large nuclei, hyperchromasia, +/-necrosis | ||
| - | | - | ||