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<p class="ql-align-justify">(1) Gastric mucosa showing moderate infiltration by lymphocytes and plasma cells. There is evidence of inflammatory activity manifested by some neutrophils infiltrating glands. H. pylori characteristic forms are seen. Focal intestinal metaplasia is noted, however there is no evidence of atypia or malignancy.</p><p class="ql-align-justify">(2) Duodenal mucosa show focal moderate villous atrophy associated i<span style="color: rgb(0, 29, 53);">ntraepithelial lymphocytosis and crypt hyperplasia </span>malignancy with submucosal mild infiltrate of lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy.</p>
<p class="ql-align-justify">Circumferential ring-like lesion at the gastric antrum with fissuring of duodenal mucosa.</p>
<p>Two biopsies were submitted:</p><p class="ql-align-justify">1- Gastric: soft tissue fragments collectively measured 0.7 cm, totally embedded.</p><p class="ql-align-justify">2- Duodenal: soft tissue fragments collectively measured 0.6 cm, totally embedded.</p>
<h3><strong><em><u>Stomach, Endoscopic biopsy:</u></em></strong></h3><ul><li class="ql-align-justify"><strong>H. pylori associated chronic gastritis with associated moderate inflammatory activity and focal intestinal metaplasia. </strong></li><li class="ql-align-justify"><strong>Negative for dysplasia or malignancy. </strong></li></ul><p class="ql-align-justify"><br></p><h3><strong><em><u>Duodenum, endoscopic biopsy:</u></em></strong></h3><ul><li><strong>Focal moderate villous atrophy with associated chronic non-specific duodenitis, consistent with celiac disease. Modified Marsh-Oberhuber classification, grade 3a (</strong><strong style="color: oklch(0.2642 0.013 93.9); background-color: oklch(0.9798 0.005 78.3);">Corazza & Villanacci </strong><strong>grade B1).</strong></li><li><strong>Negative for malignancy. </strong></li></ul>
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