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m (→IBD dysplasia) |
(→Re-anastomosis with mechanical reactive changes: new section) |
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or a sporadic adenoma. This distinction cannot be made on morphology alone; | or a sporadic adenoma. This distinction cannot be made on morphology alone; | ||
clinical/endoscopic correlation is required. | clinical/endoscopic correlation is required. | ||
</pre> | |||
== Re-anastomosis with mechanical reactive changes == | |||
<pre> | |||
SMALL BOWEL, RESECTION AND NEW ANASTOMOSIS: | |||
- LARGE BOWEL WITH POST-SURGICAL CHANGES, NEGATIVE FOR ACTIVE INFLAMMATION. | |||
- SMALL BOWEL WITH FOCAL MUCOSA EROSIONS -- FAVOUR REACTIVE, SEE COMMENT. | |||
- SKIN WITH REACTIVE CHANGES. | |||
- NEGATIVE FOR DYSPLASIA. | |||
COMMENT: | |||
The small bowel section focally shows erosions at the tips of the villi close to the | |||
interface with the skin; this is favoured to be a mechanical phenomenon. The small bowel | |||
more distant from the small bowel-skin junction shows no active inflammation. | |||
One foreign body-type granuloma is present. No other granulomata are identified. | |||
The bowel shows increased eosinophils and intraepithelial lymphocytes, and basal | |||
plasmacytosis compatible with a chronic inflammatory process. | |||
</pre> | </pre> |
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