FRCPath Part 2 Surgical Course: Upper GI Case
Diagnosis
Case 1
Gastric heterotopia (so called ''inlet patch'')
Case 2 Case 3
Eosinophilic oesophagitis Corroborative of Barrett’s oesophagus & CMV oesophagitis
Case 4
High grade dysplasia +/- intramucosal adenocarcinoma in CLO
Case 5
Granular cell tumour
Case 6
Smooth muscle tumour
Case 7
Case 8
Chemical/reactive gastritis, now known as reactive gastropathy. The presence of stainable iron indicates that this may be due to, at least in part, oral iron therapy. Xanthelasma or xanthoma of the stomach
Case 9
Gastric antral vascular ectasia (GAVE)
Case 10
Case 11
High grade lymphoma. If you want to be really clever: DLBCL; centroblastic variant with an activated phenotype (WHO) Gastrointestinal stromal tumour (GIST), (SDH mutation)
Case 12
Signet ring cell adenocarcinoma
Case 13
Glomus tumour
Case 14
Case 15
Increased intra-epithelial lymphocytes: ‘Lymphocytic duodenosis’ ‘Intra-epithelial lymphocytosis with a normal villous architecture’ Giardiasis
Case 16
‘In keeping with untreated coeliac disease’
Case 17
Gastric heterotopia
Case 18
Peutz-Jehgers polyp with epithelial misplacement ( pseudo-invasion )
Case 19
Seminoma
Case 20 Case 21
Clear cell carcinoma, consistent with metastasis from a primary renal (clear) cell carcinoma. Kaposi Sarcoma ( HIV positive )
Case 22
Erosive gastritis with reactive atypia
Case 23
Metastatic lobular carcinoma of breast ( ER positive )