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  • Duod BX

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    Azyani Yahaya
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    Section A describes a polypoidal fragment with irregular glands and villiform structures lined by epithelial cells showing reactive changes. The stroma is expanded by moderate to dense infiltrations of lymphocytes and plasma cells with a lymphoid follicle. Section B shows a fragment of oesophageal and gastric mucosa, with mildly acanthotic stratified squamous epithelium in the oesophagus and irregular antral-type glands in the stomach. The lamina propria is mildly infiltrated. The summaries indicate gastric metaplasia in a duodenal polyp and no evidence of Barrett's oesophagitis or dysplasia, but mild chronic gastritis.

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    Section A describes a polypoidal fragment with irregular glands and villiform structures lined by epithelial cells showing reactive changes. The stroma is expanded by moderate to dense infiltrations of lymphocytes and plasma cells with a lymphoid follicle. Section B shows a fragment of oesophageal and gastric mucosa, with mildly acanthotic stratified squamous epithelium in the oesophagus and irregular antral-type glands in the stomach. The lamina propria is mildly infiltrated. The summaries indicate gastric metaplasia in a duodenal polyp and no evidence of Barrett's oesophagitis or dysplasia, but mild chronic gastritis.

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    3 views1 page

    Duod BX

    Uploaded by

    Azyani Yahaya
    Section A describes a polypoidal fragment with irregular glands and villiform structures lined by epithelial cells showing reactive changes. The stroma is expanded by moderate to dense infiltrations of lymphocytes and plasma cells with a lymphoid follicle. Section B shows a fragment of oesophageal and gastric mucosa, with mildly acanthotic stratified squamous epithelium in the oesophagus and irregular antral-type glands in the stomach. The lamina propria is mildly infiltrated. The summaries indicate gastric metaplasia in a duodenal polyp and no evidence of Barrett's oesophagitis or dysplasia, but mild chronic gastritis.

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    A: Section shows polypoidal fragments composed of irregular glands of variable sizes and surface

    villiform structures lined by foveolar epithelium. Focally, the epithelial cells show reactive cellular
    changes. The stroma is expanded by moderate to dense infiltrations of lymphocytes and plasma cells,
    with presence of a lymphoid follicle with germinal centre. No Brunner gland, oxyntic gland, dysplasia or
    malignancy.

    B: Section shows a fragment composed of oesophageal and gastric mucosa. The oesophageal mucosa is
    composed of mildly acanthotic, stratified squamous epithelium showing normal cell polarity. The gastric
    mucosa is composed of irregular, antral-type glands lined by foveolar epithelium. The lamina propria is
    mildly infiltrated by lymphocytes and plasma cells. There are no neutrophils, H. pylori, ulcer, intestinal
    metaplasia, dysplasia or malignancy seen.

    A: Duodenal polyp: Features are consistent with gastric metaplasia

    B: Oesophageal biopsy: 1) No evidence of Barrett’s oesophagitis


    2) Mild chronic gastritis.

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