Stomach: Difference between revisions
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:*[[Gastric polyp]] | :*[[Gastric polyp]] | ||
:*[[Stomach biopsy for Helicobacter pylori]] | :*[[Stomach biopsy for Helicobacter pylori]] | ||
{{Comprehensiveness}} | |||
==Microscopic evaluation== | ==Microscopic evaluation== | ||
Generally screen for: | Generally screen for: | ||
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File:Histopathology of mucosal plasma cell infiltrate in chronic gastritis.jpg|thumb|'''[[Gastritis]]''', with neutrophils indicating acute gastritis, and plasma cells (pictured) indicating chronic gastritis.<ref name=PathologyOutlinesAcute>{{cite web|url=https://www.pathologyoutlines.com/topic/stomachacutegastritis.html|title=Stomach - Gastritis - Acute gastritis|author=Elliot Weisenberg|website=pathologyOutlines}} Topic Completed: 1 August 2012. Minor changes: 31 August 2020</ref><ref>{{cite web|url=https://www.pathologyoutlines.com/topic/stomachchronicgastritis.html|title=Stomach - Gastritis - Chronic gastritis|author=Elliot Weisenberg|website=PathologyOutlines}} Topic Completed: 1 August 2012. Minor changes: 31 August 2020</ref> | File:Histopathology of mucosal plasma cell infiltrate in chronic gastritis.jpg|thumb|'''[[Gastritis]]''', with neutrophils indicating acute gastritis, and plasma cells (pictured) indicating chronic gastritis.<ref name=PathologyOutlinesAcute>{{cite web|url=https://www.pathologyoutlines.com/topic/stomachacutegastritis.html|title=Stomach - Gastritis - Acute gastritis|author=Elliot Weisenberg|website=pathologyOutlines}} Topic Completed: 1 August 2012. Minor changes: 31 August 2020</ref><ref>{{cite web|url=https://www.pathologyoutlines.com/topic/stomachchronicgastritis.html|title=Stomach - Gastritis - Chronic gastritis|author=Elliot Weisenberg|website=PathologyOutlines}} Topic Completed: 1 August 2012. Minor changes: 31 August 2020</ref> | ||
File:Histopathology of reactive gastropathy, annotated.jpg|thumb|'''Reactive gastropathy''', which is a triad of:<ref name=pmid16939055>{{Cite journal | last1 = Genta | first1 = RM. | title = Differential diagnosis of reactive gastropathy. | journal = Semin Diagn Pathol | volume = 22 | issue = 4 | pages = 273-83 | month = Nov | year = 2005 | doi = | PMID = 16939055 }}</ref><br>- '''Foveolar hyperplasia''' (black arrow), generally seen as a tortuosity in the "neck" region of the gastric glands.<br>- Scant acute and chronic '''inflammatory''' cells (white arrow).<br>- '''Smooth muscle hyperplasia''' (black oval) | File:Histopathology of reactive gastropathy, annotated.jpg|thumb|'''Reactive gastropathy''', which is a triad of:<ref name=pmid16939055>{{Cite journal | last1 = Genta | first1 = RM. | title = Differential diagnosis of reactive gastropathy. | journal = Semin Diagn Pathol | volume = 22 | issue = 4 | pages = 273-83 | month = Nov | year = 2005 | doi = | PMID = 16939055 }}</ref><br>- '''Foveolar hyperplasia''' (black arrow), generally seen as a tortuosity in the "neck" region of the gastric glands.<br>- Scant acute and chronic '''inflammatory''' cells (white arrow).<br>- '''Smooth muscle hyperplasia''' (black oval) | ||
File:Helicobacter pylori, Gastric Mucosa, H&E (390307642).jpg|{{Comprehensive-begin}}Look for '''[[Helicobacter pylori]]''' even without signs of gastritis.{{Comprehensive-end}}<ref group=notes>H. pylori is very unlikely without gastritis or reactive changes.</ref> | |||
</gallery> | </gallery> | ||
===Microscopy report=== | |||
Example in case of normal findings: | |||
{|class=wikitable | |||
| {{Moderate-begin}}Gastric, biopsy: {{Moderate-end}}Gastric mucosa without significant pathologic changes.<br>{{Comprehensive-begin}}Negative for helicobacter pylori organisms on H&E slide.{{Comprehensive-end}} | |||
|} | |||
{{Bottom}} | {{Bottom}} | ||