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Another interesting case: So (to my untrainedeye), There are certain features suggestive of reactive foveolar hyperplasia from this power (ie. reactive appearance, SM proliferation, dialated cappilaries, etc). However, there are certain features (nuclear and architectural) that are a little concerning for dysplasia. I think I would likely come down on the adenomatous change side of things: Gastric Mucosa with adenomatous change, no high grade dysplasia or invasive CA. (Actually, I would probably get a consult)

----Comment by: PathDoc15 on 2/27/2007 11:07:25 AM

Yes, I also think that the mucosa (particularly in the upper left of the image) looks dysplastic, low-grade.

----Comment by: kyouens on 2/27/2007 11:21:13 AM

kyouens wrote: "Yes, I also think that the mucosa (particularly in the upper left of the image) looks dysplastic, low-grade." - We have concensus GIPathDoc?

----Comment by: PathDoc15 on 2/27/2007 11:40:34 AM

Yep, consensus. I modified the description above to reflect the diagnosis. Thanks for playing

----Comment by: GIPathDoc on 2/27/2007 2:47:04 PM

     

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