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<p class="ql-align-justify">Gastric mucosa showing moderate atrophy of glands and moderate infiltration by lymphocytes and plasma cells. Some neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are seen colonizing glands. Intestinal metaplasia is evident as well as focal mild reparative dysplastic changes. No evidence of malignancy.</p>
<p>Epigastric pain. Upper gastrointestinal endoscopy revealed hyperemic gastric mucosa with antral mucosal hypertrophy and multiple erosions.</p>
<p>Four fragments of soft tissue, collectively measuring 0.8 × 0.8 × 0.7 cm, totally embedded.</p>
<p><strong><em><u>Stomach, endoscopic biopsy: </u></em></strong></p><ul><li><strong><em>H. </em>pylori-associated moderate chronic atrophic gastritis with intestinal metaplasia and focal mild reparative dysplasia. </strong></li><li><strong>No evidence of frank malignancy. </strong></li></ul><p><br></p><p><strong>COMMENT</strong></p><h5>Repeat endoscopy with rebiopsy following treatment of inflammation is recommended to confirm resolution of dysplastic changes after the inflammatory process has subsided.</h5>
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