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<p>(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. </p><p>(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. </p>
<p>Epigastric pain and vomiting. Endoscopy shows nodular gastropathy. Gastric and duodenal endoscopic biopsies to rule out celiac disease.</p>
<p>Two samples were submitted: (1) Gastric biopsy: Fragments collectively measuring 0.4 cm. (2) Duodenal biopsy: Fragments of collective size 0.4 cm. </p>
<p><strong><em><u>(1) Stomach, Endoscopic biopsy: </u></em></strong></p><ul><li><strong>Mild chronic atrophic gastritis with associated mild inflammatory activity. </strong></li><li><strong>Negative for atypia and malignancy.</strong></li></ul><p><br></p><p><strong><em><u>(2) Duodenum, Endoscopic biopsy: </u></em></strong></p><ul><li><strong>Mild chronic non-specific inflammation. </strong></li><li><strong>Negative for villous atrophy.</strong></li><li><strong>Negative for malignancy. </strong></li></ul>
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