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<p class="ql-align-justify">Gastric mucosa showing mild atrophy of glands and marked infiltration by lymphocytes and plasma cells. Some neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are seen colonizing glands. Focal mild reparative dysplastic changes are noted. No evidence of intestinal metaplasia nor malignancy.</p>
<p>Anemia with melena. Endoscopy: the whole of gastric mucosa is congested and hyperemic with scattered superficial erosions.</p>
<p>Soft tissue pieces collectively measuring 1 x 0.9 x 0.8 cm, totally embedded.</p>
<p><strong><em><u>Stomach, endoscopic biopsy: </u></em></strong></p><ul><li><strong><em>H. </em>pylori-associated chronic atrophic gastritis with marked activity and focal mild reparative dysplasia. </strong></li><li><strong>Negative for intestinal metaplasia.</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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