(1) Gastric mucosa showing mild atrophy of glands and mild infiltration by lymphocytes and plasma cells. There is evidence of focal inflammatory activity manifested by few neutrophils infiltrating glands, however H. pylori characteristic forms are not seen. No evidence of intestinal metaplasia, atypia or malignancy.
(2) Duodenal mucosa showing mild infiltration by lymphocytes and plasma cells. Villi are intact and are negative for atrophy and ulceration. No evidence of specific granulomas. No evidence of malignancy.
(3) Focally ulcerated ileocolonic mucosa with mild reduction in the number of mucigenic cells and moderate infiltration by lymphocytes, plasma cells and neutrophils. However, crypt abscesses are not identified. No evidence of atypical or malignant cells.
Abdominal pain and chronic diarrhea. Endoscopy: features of erosive gastropathy and ulcerated ileocecal mucosae.
Received in three containers of white-tan soft tissue labeled as stomach, duodenum and colon, measuring 0.6, 0.6, & 1 cm, totally embedded in three cassettes A, B & C.
(1) Stomach, endoscopic biopsy:
(2) Duodenum, endoscopic biopsy:
(3) Ileocolonic, endoscopic biopsy: