Medical Report Preview
✖
Pathology Report System
3
AD
مشرف النظام
Basic Information
Details & Diagnosis
Basic Report Information
Patient Name
Specimen Number
Age
Gender
Male
Female
Ref By
Received Date
Date Reported
Nature of Specimen
Report Status
Not completed
Completed
Clinical Data
Gross Description
Microscopic Description
Diagnosis
<p class="ql-align-justify">Fragments of squamous-lined esophageal mucosa with prominent intraepithelial eosinophilia, greatest in the superficial and mid-epithelial layers. Peak counts show multiple foci with ≥15 eosinophils per high-power field (HPF, 400×), with occasional eosinophil microabscesses (clusters of ≥4 eosinophils). There is associated basal cell hyperplasia with expansion of the basal layer, focal elongation of papillae into the upper third of the epithelium, and spongiosis (intercellular edema). Surface epithelial sloughing and scattered degranulated eosinophils are noted. The lamina propria shows a chronic inflammatory infiltrate with variable superficial fibrosis. No evidence of atypia or malignancy in submitted material.</p>
<p class="ql-align-justify">Intermittent dysphagia. Endoscopy revealed esophagitis,? Esinophilic esiphagitis.</p>
<p class="ql-align-justify">Soft tissue fragments collectively measured 0.8x0.5 cm totally embedded.</p>
<p><strong><em><u>Esophageal endoscopic biopsy:</u></em></strong></p><ul><li><strong>Consistent with eosinophilic esophagitis. </strong></li><li><strong>Negative for malignancy. </strong></li></ul><p><br></p><p><strong>COMMENT</strong>:</p><h5 class="ql-align-justify">The histologic findings are most compatible with eosinophilic esophagitis (EoE), an immune-mediated esophageal disorder characterized by dense intraepithelial eosinophilia and epithelial remodeling. Correlation with the clinical history (dysphagia, food bolus impaction, heartburn, atopic history including asthma/allergic rhinitis/eczema) and endoscopic findings (ringing, linear furrows, white exudates, strictures) is advised. A peak eosinophil count ≥15 eos/HPF supports the diagnosis, but similar eosinophil infiltrates can be seen with gastroesophageal reflux disease (GERD), proton pump inhibitor–responsive esophageal eosinophilia (PPI-REE), pill esophagitis, and parasitic or systemic eosinophilic disorders; clinical correlation and documentation of treatment/response to PPI therapy are recommended.</h5>
Choose Image
Remove
Image Width (px)
Image Height (px)
Image Position
Center
Left
Right
Template
With Template
Without a Template
المسافة الفارغة من أعلى الصفحة عند عدم استخدام قالب
Header Space (mm)
Send to Telegram
Sending...
Generate PDF
Update