Talk:Esophagus - Revision history

Michael: another normal

2011-03-30T18:13:38Z

another normal

@@ Line 20: / Line 20: @@
 C. Gastric body, biopsy - no pathologic diagnosis. <br>
 D. Esophagus, biopsy - no pathologic diagnosis. <br>
 ==IBD?==

Michael: /* Microsopic */

2011-03-30T14:18:59Z

Microsopic

← Older revision		Revision as of 14:18, 30 March 2011
Line 62:		Line 62:
	A, B. The sections shows normal small bowel mucosa with Brunner's glands.<br>		A, B. The sections shows normal small bowel mucosa with Brunner's glands.<br>
	C, D. The sections show body-type gastric mucsoa with a mild, and focally moderate, inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified. No helicobacter-type organisms are identified with routine stains.<br>		C, D. The sections show body-type gastric mucsoa with a mild, and focally moderate, inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified. No helicobacter-type organisms are identified with routine stains.<br>
	E, F. The sections show esophageal-type mucosa with rare eosinophils and lymphocytes. The papilla lengths are normal. There is no basal cell hyperplasia.		E, F. The sections show esophageal-type mucosa with rare eosinophils and lymphocytes. The papilla lengths are normal. There is no basal cell hyperplasia. No viral cytopathic changes are seen. No organisms are seen with routine stains.

	===Final diagnosis===		===Final diagnosis===
	A. Duodenum, biopsy - no pathologic diagnosis.<br>		A. Duodenum, biopsy - no pathologic diagnosis.<br>

Michael: more

2011-03-30T14:17:00Z

← Older revision		Revision as of 14:17, 30 March 2011
Line 56:		Line 56:
	====Comment====		====Comment====
	The histomorphologic findings in this biopsy are not suggestive of celiac disease.		The histomorphologic findings in this biopsy are not suggestive of celiac disease.


			==Esophagitis==
			===Microsopic===
			A, B. The sections shows normal small bowel mucosa with Brunner's glands.<br>
			C, D. The sections show body-type gastric mucsoa with a mild, and focally moderate, inflammatory infiltrate consisting of neutrophils, plasma cells and lymphocytes. No granulomas are identified. No helicobacter-type organisms are identified with routine stains.<br>
			E, F. The sections show esophageal-type mucosa with rare eosinophils and lymphocytes. The papilla lengths are normal. There is no basal cell hyperplasia.
			===Final diagnosis===
			A. Duodenum, biopsy - no pathologic diagnosis.<br>
			B. Duodenum, cap, biopsy - no pathologic diagnosis.<br>
			C. Stomach ("antrum"), biopsy - body-type gastric mucosa with mild, active inflammation.<br>
			D. Stomach, body, biopsy - body-type gastric mucosa with mild, active inflammation.<br>
			E. Esophagus, distal, biopsy - mild esophagitis. <br>
			F. Esophagus, mid, biopsy - mild esophagitis.

Michael: /* Normal 2 */

2011-03-02T21:30:19Z

Normal 2

← Older revision		Revision as of 21:30, 2 March 2011
Line 19:		Line 19:
	B. Gastric antrum, biopsy - no pathologic diagnosis. <br>		B. Gastric antrum, biopsy - no pathologic diagnosis. <br>
	C. Gastric body, biopsy - no pathologic diagnosis. <br>		C. Gastric body, biopsy - no pathologic diagnosis. <br>
	D. Esophagus; biopsy - no pathologic diagnosis. <br>		D. Esophagus, biopsy - no pathologic diagnosis. <br>

	==IBD?==		==IBD?==

Michael: fix

2011-03-02T20:07:47Z

fix

← Older revision		Revision as of 20:07, 2 March 2011
Line 1:		Line 1:
	:See also: ''[[Talk:Celiac ~~disease~~]]''.		:See also: ''[[Talk:Celiac sprue]]''.
	==Normal 1==		==Normal 1==
	===Microscopic===		===Microscopic===

Michael: wikify

2011-03-02T20:07:15Z

wikify

← Older revision		Revision as of 20:07, 2 March 2011
Line 1:		Line 1:
			:See also: ''[[Talk:Celiac disease]]''.
	==Normal 1==		==Normal 1==
	===Microscopic===		===Microscopic===

Michael: /* Normal 2 */

2011-03-01T20:38:13Z

Normal 2

← Older revision		Revision as of 20:38, 1 March 2011
Line 15:		Line 15:
	D. The sections show normal esophageal-type mucosa. <br>		D. The sections show normal esophageal-type mucosa. <br>
	===Final diagnosis===		===Final diagnosis===
	A. Duodenum, biopsy - no pathologic diagnosis.		A. Duodenum, biopsy - no pathologic diagnosis. <br>
	B. Gastric antrum, biopsy - no pathologic diagnosis.		B. Gastric antrum, biopsy - no pathologic diagnosis. <br>
	C. Gastric body, biopsy - no pathologic diagnosis.		C. Gastric body, biopsy - no pathologic diagnosis. <br>
	D. Esophagus; biopsy - no pathologic diagnosis.		D. Esophagus; biopsy - no pathologic diagnosis. <br>

	==IBD?==		==IBD?==

Michael: more

2011-03-01T20:33:37Z

@@ Line 1: / Line 1: @@
-==Normal==
+==Normal 1==
 ===Microscopic===
 A. The sections shows normal small bowel mucosa with Brunner's glands.<br>
@@ Line 7: / Line 7: @@
 ===Final diagnosis===
 A-D. Duodenum, gastric antrum, gastric body, esophagus; biopsies (x4) - no pathology.
 ==IBD?==

Michael: fix format

2011-01-24T13:40:07Z

fix format

← Older revision		Revision as of 13:40, 24 January 2011
Line 1:		Line 1:
	==Normal==		==Normal==
	===Microscopic===		===Microscopic===
	A. The sections shows normal small bowel mucosa with Brunner's glands.		A. The sections shows normal small bowel mucosa with Brunner's glands.<br>
	B. The sections show normal antral-type gastric mucsoa.		B. The sections show normal antral-type gastric mucsoa.<br>
	C. The sections show normal body-type gastric mucosa.		C. The sections show normal body-type gastric mucosa.<br>
	D. The sections show normal esophageal-type mucosa.		D. The sections show normal esophageal-type mucosa. <br>
	===Final diagnosis===		===Final diagnosis===
	A-D. Duodenum, gastric antrum, gastric body, esophagus; biopsies (x4) - no pathology.		A-D. Duodenum, gastric antrum, gastric body, esophagus; biopsies (x4) - no pathology.
Line 16:		Line 16:

	===Final diagnosis===		===Final diagnosis===
	A. Duodenum, biopsy - Mild focal acute inflammation, see comment.		A. Duodenum, biopsy - Mild focal acute inflammation, see comment.<br>
	B. Stomach, antrum, biopsy - Mild chronic active inflammation with focal moderate chronic active inflammation, see comment.		B. Stomach, antrum, biopsy - Mild chronic active inflammation with focal moderate chronic active inflammation, see comment.<br>
	C. Stomach, body, biopsy - Mild chronic active inflammation, see comment.		C. Stomach, body, biopsy - Mild chronic active inflammation, see comment.<br>
	D. Esophagus, distal, biopsy - Focal chronic subepithelial inflammation, see comment.		D. Esophagus, distal, biopsy - Focal chronic subepithelial inflammation, see comment.<br>

	====Comment====		====Comment====

Michael: /* Eosinophilic esophagitis */ new section

2011-01-24T13:39:10Z

Eosinophilic esophagitis: new section

← Older revision		Revision as of 13:39, 24 January 2011
Line 23:		Line 23:
	====Comment====		====Comment====
	The histomorphologic findings are compatible with inflammatory bowel disease. There are no histomorphologic findings to suggest an infective etiology; however, this cannot be definitively excluded.		The histomorphologic findings are compatible with inflammatory bowel disease. There are no histomorphologic findings to suggest an infective etiology; however, this cannot be definitively excluded.

			== Eosinophilic esophagitis ==

			===Microscopic description===
			A. The sections show small bowel with Brunner's glands and a mild focal neutrophilic infiltrate. The villous architecture is largely preserved.<br>
			B. The sections show small bowel with Brunner's glands and moderate chronic active neutrophilic inflammation with focal ulceration and necrotic debris. There is villous blunting. There are no significant number of intraepithelial lymphocytes.<br>
			C. The sections show antral-type gastric mucosa with infiltration moderate eosinophilia, neutrophils and clusters of plasma cells. Focally, the eosinophils are intraepithelial.<br>
			D. The sections show body-type gastric mucosa with clusters of eosinophilis, neutrophils and plasma cells.<br>
			E-G. The sections show esophageal mucosa with a prominent eosinophilic infiltrate and focal clustering of eosinophilis. The epithelial papillae are elongated, there is basal cell hyperplasia and the epithelium is edematous. There are more than 20 eosinophilis / 0.216 mm^2 in all sites. The area 0.216 mm^2 is one high power field (HPF) using the 40x objective.<br>
			===Final diagnosis===
			A. Duodenum, biopsy - Mild focal duodenitis, see comment.<br>
			B. Duodenum, cap, biopsy - Moderate focal chronic active duodenitis with mild eosinophilia and ulceration, see comment.<br>
			C. Stomach, antrum, biopsy - Moderate chronic active gastritis with mild eosinophilia.<br>
			D. Stomach, body, biopsy - Mild chronic active gastritis with mild eosinophilia.<br>
			E. Esophagus, distal, biopsy - Eosinophilic esophagitis.<br>
			F. Esophagus, middle, biopsy - Eosinophilic esophagitis.<br>
			G. Esophagus, upper, biopsy - Eosinophilic esophagitis.<br>

			====Comment====
			The histomorphologic findings in this biopsy are not suggestive of celiac disease.