Blog
Slide tutorial – Case 10
Clinical history: 88yo male, weight loss for investigation
Digital slide: H&E (x40) – Review before progressing
Macroscopic and microscopic images:
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- Gastric biopsies
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- Low power of gastric intestinal metaplasia
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- Higher power of intestinal metaplasia
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- Low power of zone of dysplasia
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- Higher power of zone of low grade dysplasia
Diagnosis:
Video tutorial
Case discussion
This is presented;
- as an important metaplastic and neoplastic process of the upper GI tract (oesophagus, gastric or duodenum)
- to raise the discussion of dysplasia grading in this region
The key features to take away include;
- The co-existence of intestinal metaplasia and dysplasia
- Criteria for low grade dysplasia
Extended learning topics
Discuss how you report and manage the presence of glandular mucosa in the;
- stomach
- oesophagus
Discuss the grading of dysplasia in the setting of Barrett’s
Drop me a line or call me at TissuPath if you want to discuss any of these cases further
Andrew
This case has been de-identified and is intended for educational purposes only
