Slide tutorial – Case 10

Clinical history: 88yo male, weight loss for investigation

Digital slideH&E (x40) – Review before progressing

Macroscopic and microscopic images:


Spoiler Inside SelectShow


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


This case has been de-identified and is intended for educational purposes only

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