The practical habits you wish you had learned in residency
History: 44 y/o female presents with biliary colic and undergoes a cholecystectomy Histology: Diagnosis: Xanthogranulomatous cholecystitis The first image shows gallbladder mucosa with chronic inflammation and reactive epithelial changes. The following images show regions deeper in the submucosa and muscularis
Continue readingUnknown case #2 -middle-aged female with biliary colic
History: 44 year-old female presents with a persistent tongue lesion x 4 months Histology: Diagnosis: Irritation fibroma and traumatic neuroma. Irritation fibroma – Benign reactive fibroblast proliferation that usually affects the lateral tongue and buccal mucosa. Histologic sections show a
Continue readingUnknown Case #1 – middle aged female with a tongue lesion
Clinical history: 75 year-old female with intestinal metaplasia seen on previous random gastric biopsy Site: Stomach (body) Histology: Diagnosis: Autoimmune metaplastic atrophic gastritis Diagnostic notes: As compared to H. pylori gastritis, the inflammation is predominantly in base of the mucosa
Clinical history: 26 year-old male with no significant past medical history presents with persistent vague abdominal pain Site: Stomach Histology: Diagnosis: Helicobacter pylori gastritis Diagnostic notes: It’s important to distinguish Helicobacter pylori gastritis from autoimmune metaplastic atrophic gastritis (AMAG) which