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It looks like the mucosa has a villous appearance, with smooth muscle proliferation and capillary dilation in the lamina propria and possibly some mild gland dilation. I can't tell if there's chronic gastris, but if there is it looks mild. How about focal reactive foveolar hyperplasia with a polypoid appearance by endoscopy (i.e. an "early hyperplasic polyp")?

----Comment by: kyouens on 2/27/2007 10:08:58 AM

Great Job, K Youens At our practice, the canned comment for reactive foveolar hyperplasia is as follows: Foveolar hyperplasia is non-specific, and can be seen as a reactive process as in reactive gastropathy (chemical gastritis including NSAID effect, bile gastritis and post-gastrectomy state), as well as adjacent to lesions such as an erosion, ulcer, polyp, or other neoplasm. Some authors also feel that it represents a type of polyp, or a subtype or precursor of a benign hyperplastic inflammatory polyp.

----Comment by: GIPathDoc on 2/27/2007 10:13:35 AM

Arrow #1 shows smooth muscle proliferation stretching up into the lamina propria. Arrow #2 shows capillary dilation in the lamina propria and Arrow #3 shows some reactive appearing epithial cells.

----Comment by: PathDoc15 on 4/4/2008 9:32:44 AM Click to add this comment's arrows to the image above


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