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inflammation is identified. Scattered mucosal lymphoid nodules with germinal center | inflammation is identified. Scattered mucosal lymphoid nodules with germinal center | ||
formation are present. | formation are present. | ||
</pre> | |||
====Granulomas and inflamed crypts==== | |||
<pre> | |||
A. CECUM, BIOPSY: | |||
- ACTIVE CECITIS, MILD. | |||
- SMALL MUCOSAL GRANULOMAS, SUPERFICIAL, SEE COMMENT. | |||
- NEGATIVE FOR DYSPLASIA. | |||
... | |||
COMMENT - PART A: | |||
The granulomas are mucosal and near inflamed crypts. Mucosal granulomas may be seen in | |||
ulcerative colitis beside inflamed crypts; however, this does raise the possibility of | |||
Crohn's disease. | |||
COMMENT - GENERAL: | |||
The inflammation is diffuse and chronic changes are seen throughout. Distal paneth cell | |||
metaplasia is present. The diffuse nature of the inflammation would be more in keeping with | |||
ulcerative colitis. Clinical correlation is required. | |||
</pre> | </pre> | ||
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