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<p class="ql-align-justify">1- Gastric mucosa showing mild atrophy and mild infiltration by lymphocytes and plasma cells. Lymphocytes aggregate in some foci to form lymphoid follicles with active germinal centers. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are present. There is no evidence of intestinal metaplasia, atypia or malignancy.</p><p class="ql-align-justify">2- An adenomatous polyp formed of tubular and villous glands lined by columnar cells with reduced mucigenic activity and focal mild dysplasia. No evidence of malignancy in this biopsy.</p><p class="ql-align-justify">Follow up is recommended since such lesion may be precancerous. </p>
<p class="ql-align-justify">Iron deficiency anemia underwent endoscopic evaluation which revealed severe nodular gastropathy on upper endoscopy and rectal large polyp on colonoscopy</p>
<p>Two biopsies were received:</p><p class="ql-align-justify">1- Gastric biopsy: soft tissue fragments collectively measured 0.7 cm, totally embedded.</p><p class="ql-align-justify">2- Rectal polyp: soft tissue fragments collectively measured 0.9 cm, totally embedded.</p>
<h3><strong><em><u>1- Stomach, endoscopic biopsy:</u></em></strong></h3><ul><li class="ql-align-justify"><strong>H. pylori associated chronic follicular atrophic gastritis with mild inflammatory activity. </strong></li><li class="ql-align-justify"><strong>Negative for intestinal metaplasia, dysplasia or malignancy.</strong></li></ul><p class="ql-align-justify"><br></p><p class="ql-align-justify"><strong><em><u>2- Rectum, polypectomy:</u></em></strong></p><ul><li class="ql-align-justify"><strong>Tubulovillous adenomatous polyp with low grade dysplasia. </strong></li><li class="ql-align-justify"><strong>Recommended for follow up. </strong></li></ul><h3><br></h3><h3><br></h3>
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