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<ul><li class="ql-align-justify">Gastric mucosa showing moderate infiltration by lymphocytes and plasma cells. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are seen colonizing glands. No evidence intestinal metaplasia, dysplasia or malignancy.</li><li>Duodenal mucosa shows focal moderate villous atrophy associated i<span style="color: rgb(0, 29, 53);">ntraepithelial lymphocytosis and crypt hyperplasia </span>with submucosal mild infiltrate of lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy. </li></ul>
<p>Chronic active gastritis and chronic duodenitis.</p>
<p class="ql-align-justify">Two biopsies were received, labeled as gastric and endoscopic; each consists of soft tissue fragments measuring 0.6 cm and 0.9 cm, respectively, totally embedded in two separate cassettes.</p>
<h3><strong><em><u>Stomach, endoscopic biopsy:</u></em></strong></h3><ul><li><strong>H. pylori-associated chronic follicular gastritis with moderate inflammatory activity.</strong></li><li><strong>Negative for intestinal metaplasia, dysplasia or malignancy.</strong></li></ul><h3><strong><em><u>Duodenal endoscopic biopsy:</u></em></strong></h3><ul><li><strong>Focal moderate villous atrophy with associated chronic non-specific duodenitis, consistent with celiac disease.</strong></li><li><strong>Modified Marsh-Oberhuber classification, grade B1.</strong></li><li><strong>Negative for malignancy. </strong></li></ul><h6><br></h6><h4><strong><u>COMMENT:</u></strong></h4><h5>Confirmatory correlation with clinical and laboratory chemical investigations is advised.</h5>
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