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Wolf, EM; Högenauer, C; Asslaber, M; Langner, C.
Inflammatory esophageal polyp with bizarre stromal cells: possible diagnostic pitfall].
Pathologe. 2013; 34(2):159-161 Doi: 10.1007/s00292-012-1715-4 (- Case Report)
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Führende Autor*innen der Med Uni Graz
Langner Cord
Co-Autor*innen der Med Uni Graz
Asslaber Martin
Hoegenauer Christoph
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Abstract:
In the gastrointestinal tract an accurate diagnosis of tumor-like lesions can be challenging. In patients with reflux disease regenerative hyperplasia of esophageal squamous epithelium may show marked pleomorphism and atypia thereby simulating malignancy. Bizarre stromal cells are another diagnostic pitfall. We present the case of a 46-year-old patient with symptoms of reflux disease who was diagnosed with a benign inflammatory polyp at the distal end of the esophagus. Histology revealed bizarre cells within the stroma of the polyp characterized by nuclear hyperchromatism and enlargement. Mitoses were not observed. The atypical cells were positive for vimentin. The Ki67/MIB-1 proliferation rate was low. The morphology and etiology of bizarre stromal cells, including helpful features for differential diagnosis are thoroughly discussed.
Find related publications in this database (using NLM MeSH Indexing)
Biopsy -
Cell Proliferation -
Diagnosis, Differential -
Esophageal Neoplasms - diagnosis Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery
Esophagitis - diagnosis Esophagitis - pathology Esophagitis - surgery
Female -
Gastroesophageal Reflux - diagnosis Gastroesophageal Reflux - pathology Gastroesophageal Reflux - surgery
Gastroscopy -
Humans -
Ki-67 Antigen - analysis
Middle Aged -
Polyps - diagnosis Polyps - pathology Polyps - surgery
Stromal Cells - pathology
Tumor Markers, Biological - analysis
Vimentin - analysis

Find related publications in this database (Keywords)
Esophagus
Bizarre stromal cells
Pseudoneoplastic lesion
Immunohistochemistry
Inflammatory polyp
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