Well, I got the path report today but our doctor wants to meet in person to discuss it, which has sent me into panic mode! Would anyone like to take a crack at this?
SURGICAL PATHOLOGY REPORT
Specimen(s) Received
A: Esophagus, biopsy
B: Stomach, biopsy
C: Duodenum, biopsy
D: TI
E: Ascending colon, biopsy
F: Transverse colon, biopsy
G: Descending colon, biopsy
Diagnosis
A. ESOPHAGUS, BIOPSIES:
- SQUAMOUS MUCOSA WITH NO SPECIFIC PATHOLOGIC CHANGE.
B. STOMACH, BIOPSIES:
- MODERATE CHRONIC GASTRITIS, SEE MICROSCOPIC DESCRIPTION.
C. DUODENUM, BIOPSIES:
- DUODENAL MUCOSA WITH NO SPECIFIC PATHOLOGIC CHANGE.
D. TERMINAL ILEUM, BIOPSIES:
- SMALL INTESTINAL MUCOSA WITH NO SPECIFIC PATHOLOGIC CHANGE.
E. ASCENDING COLON, BIOPSIES:
- COLONIC MUCOSA WITHIN NORMAL LIMITS.
F. TRANSVERSE COLON, BIOPSIES:
- COLONIC MUCOSA WITHIN NORMAL LIMITS.
G. DESCENDING COLON, BIOPSIES:
- COLONIC MUCOSA within normal limits
Clinical History
This is an 11 year old male with Crohn's disease. Pre-operative diagnosis- same.
Postoperative diagnosis- same. Operation - upper endoscopy with biopsy,
colonoscopy with biopsy. Findings - 1-antral ulceration with friability,
2-duodenum - nodularity with friability, 3-terminal ileum - mild aphthous ulcers
with friability, 4-colon - rare aphthous ulceration.
Microscopic Description
A. Sections consist of esophageal mucosa containing no significant epithelial
alterations or significant inflammatory infiltrates. Occasional intraepithelial
lymphocytes are noted.
B. Sections show antral and body-type gastric mucosa. The lamina propria shows
diffusely increased numbers of plasma cells and focal lymphocytic aggregates.
There is focal infiltration of the epithelium by lymphocytes.
Immunohistochemical staining for Helicobacter pylori is performed and is
negative for Helicobacter organisms.
C. Sections consist of duodenal mucosa containing no significant epithelial
alterations or significant inflammatory infiltrates. Villous architecture is
preserved.
D. Sections consist of small bowel mucosa containing unremarkable aggregates of
mucosal lymphoid tissue and no epithelial alterations. Villous architecture is
preserved.
E. Sections consist of colonic mucosa demonstrating unremarkable glandular
architecture with no significant inflammatory infiltrates; a few clusters of
lymphoplasmacytic cells and scattered eosinophils are present. An aggregate of
histiocytes are seen adjacent to a ruptured crypt; no granulomas are noted.
F. Sections consist of colonic mucosa demonstrating unremarkable glandular
architecture with no significant inflammatory infiltrates; a few clusters of
lymphoplasmacytic cells and scattered eosinophils are present. No granulomas are
noted.
G. Sections consist of colonic mucosa demonstrating unremarkable glandular
architecture with no significant inflammatory infiltrates; a few clusters of
lymphoplasmacytic cells and scattered eosinophils are present. No granulomas are
noted.
but good luck, I hope you start to see the cleanout begin to work soon! :ghug:
