🌸 The Grades of squamous cell
carcinoma

#Gross

#Diagnosis 👉🏻 Adenocarcinoma

More common at the gastroesophageal junction

#Endoscopic

#Diagnosis 👉🏻 Adenocarcinoma


#The_black_arrow
A pale, polypoid, exophytic mass

#Microscopic

#Diagnosis 👉🏻 Adenocarcinoma (invasive)

#The_white_arrows
Gland with multiple lumen

#The_features_of_glands
- with multiple de
- the lumen is irregular
- Nuclear hyperchromatism
- Thickening

The second lab DONE ✔️

#Gross

#Diagnosis 👉🏻 Acute gastritis


#The_white_arrows
Small erosions ( Hemorrhagic gastritis )

#The_features
gastric mucosa of the fundus is diffusely hyperemic, with multiple petechiae

#The_causes
- alcohol
- drugs such as NSAIDS
- stress, uremia, bile reflux
- portal hypertension, radiation
- chemotherapy
- Trauma ( N/G tube )
- post surgery ( vasogastrectomy )

⭕️ NOTE
The different between the ulcer and erosions
The erosions on the surface only
The ulcer in all layers

قد يتحول ال erosions هذا الى small ulcer 👇🏻
Acute gastritis 👉🏻 Hemorrhagic gastritis 👉🏻 erosions gastritis 👉🏻 stress 👉🏻 Acute ulcer

#Microscopic

#Diagnosis 👉🏻 Acute gastritis


#The_blue_arrow
Neutrophiles like beans form

#The_red_arrow
Gland

#Microscopic

#Diagnosis 👉🏻 chronic gastritis

#The_white_star
Lymphocytic infiltrate

#The_red_arrow
Mucosal atrophy

#The_blue_arrow
H.pylori ( appear in the warthin starry silver stain )

#The_green_arrow
Neutrophiles like beans form

#The_causes
- H.pylori
- autoimmune gastritis

#Microscopic

#Diagnosis 👉🏻 chronic gastritis


#The_black_arrow
Intestinal ( goblet cell ) metaplasia

#The_white_arrow
Chronic Inflammatory cell infiltration ( lymphocytic )

#The_blue_arrow
Mucosal atrophy

#Microscopic

#Diagnosis 👉🏻 chronic gastritis


#The_black_arrows
Intestinal ( goblet cell ) metaplasia

🌸 Peptic ulcer at stomach

#Microscopic

#Diagnosis 👉🏻 Peptic ulcer of stomach


#The_black_arrow
arterial branch at the ulcer base is eroded and bleeding.

#The_blue_arrow
Mucosal Ulcer

#The_red_arrow
normal gastric mucosa

#Gross

#Diagnosis 👉🏻 Adenocarcinoma of stomach

#The_black_arrow
Projection mass with ulcer

#Microscopic

#Diagnosis 👉🏻 Adenocarcinoma ( divuse type adenocarcinoma )
Is poor differentiated

#The_blue_arrows
the cell a Signet ring shape 💍 due to contains abundant intracytoplasmic mucin that pushes the nucleus to the periphery

#The_causes
Unknown

#Microscopic

#Diagnosis 👉🏻 Adenocarcinoma ( divuse type adenocarcinoma )
Is poor differentiated

#The_blue_arrows
the cell a Signet ring shape

#Microscopic

#Diagnosis 👉🏻 Adenocarcinoma ( intestinal type adenocarcinoma )
Is well differentiated


#The_black_arrow
Intestinal metaplasia

#The_blue_arrows
Hemorragia

#Gross

#Diagnosis 👉🏻 Acute Appendicitis


#The_features
- Congested & swollen
- Dilated lumen contain pus or a fecalith or both
- Serosa coated with fibrin , fibrinopurulent exudate or pus

#Clinically
the patient often presents with right lower quadrant abdominal pain. An elevated WBC count is usually present

#The_causes
It is associated with obstruction (fecalith, gallstone, tumor or ball of worms)