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The Old Endoscopy Quiz (and Answer) of the Month
December 2002

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the Quiz Page

Question:

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This old lady had suffered from some slight dyspeptic symtoms for many years. Upper endoscopy showed gastritis due to Helicobacter infection and a slight reflux disease. This is the finding in the descending part of her duodenum. What is the probable histologic finding in biopsies taken here?

Answer

    Duodenal tubulovillous adenoma

    This was the finding in the biopsies taken during an upper endoscopy. As surgery was never done - due to other diseases - we do not know, if there is a malignancy deeper in this lesion, which is quite possible.

Correct answers and comments were emailed by

    fuad pasic, doha, qatar
    Sérgio Peixoto, Campos, Rio de Janeiro / Brazil
    Ulrike Hurler, Heiden“heim, Germany
    Ervin Toth, Malmö, Sweden
    dario gambaccini, livorno, Italy

Beirut, Lebanon
    Elie Choueiry, Beirut, Lebanon
    luis guillermo guerrero, bogota, colombia
    ATAKAN SEZER, EDŻRNE, TURKEY
    Ēetin Karaca, Żstanbul, Turkey
    BHAGWAN S.THAKUR, MUMBAI, INDIA
    Yažar Nazlżgül, Ankara, Türkiye
    Dr.Virendra Parikh, Fort Wayne, Indiana, USA
    dr.p.SUBRAMANIAN, HOSUR, TAMILNADU,INDIA
    fuad pasic, tuzla, bosnia
    LOTFI AISSAOUI, ARAR, ARABIA SAUDIA
    Lenzini Giovanni, Parma, Italy
    Dr Wissam Wadih Chalhoub, Beirut, Lebanon
    SIAFIKOS, KORIDALLOS, GREECE
    Ilker Abci, Edirne, Turkey
    vatsala sree, welwyn garden city, herts
    hany A salem, Cairo, Egypt
    Zahreddine Radwan, Beirut, Lebanon
    Kubilay Cinar, Ankara, Turkey
    Radojka Cirkovic, Vienna, Austria
    haissam nourallah, kuwait, kuwait
    Waleed Rashad, Cairo. Egypt
    German Lloret-Salom, Alzira, Spain
    Saeed A Razek, Cairo, Egypt
    Dr Wissam Chalhoub, Beirut, Lebanon
    dongjun fan, taiyuan, China
    Claudia Ludwig, Vienna, Austria
    ... answers from five continents - it is a small world we are living in!

    Comments:

      Kiintoisat sivut. Mahan tähystykset on pari päivää sitten tehty ja nyt on letkut nenässä PH:ta mittaamassa ja kun uni ei taatusti tule, ryhdyinkin tutkimaan sivujanne !Selkeästi toteutettu ja vastaus kysymyksiin pienellä vaivalla löydettävissä !Terv. Hannele

      Kiitos,Olipa erinomaisen selkeää tekstiä Crohnin taudista ja sen tutkimisesta. Olen huomenna menossa paksusuolen tähystykseen, sain paljon apua tekstistä.

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