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

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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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