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<p class="ql-align-justify">Sections show polypoid gastric mucosal fragments with a tubulovillous architecture, composed of crowded glands and villiform projections lined by intestinal-type epithelium with goblet cells. Most areas show low-grade dysplasia with nuclear elongation, hyperchromasia, and pseudostratification. Focal high-grade dysplasia is present, characterized by marked nuclear enlargement and pleomorphism, loss of polarity, increased nuclear-to-cytoplasmic ratio, and increased mitotic activity. No evidence of frank malignancy.</p><p class="ql-align-justify">Rest of gastric mucosa shows severe chronic gastritis with moderate activity with intestinal metaplasia. Helicobacter pylori is not identified.</p>
<p>Multiple gastric polyps.</p>
<p class="ql-align-justify">Soft tissue fragments collectively measured 0.6 cm, totally embedded.</p>
<p><strong><em><u>Stomach, endoscopic biopsy:</u></em></strong></p><ul><li><strong>Intestinal-type tubulovillous adenoma with focal high-grade dysplasia.</strong></li><li><strong>Associated active gastritis with intestinal metaplasia</strong></li><li><strong>No evidence of frank malignancy.</strong></li><li><strong>Follow up is recommended. </strong></li></ul>
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