Could you help me with this slide?

[Isa2010]

---

Members don't see this ad.

Hi.

I saw this inflammatory cells dissecting the muscular layer of colonic mucosa in the context of a villous adenoma.
This may be a silly question, but I want to know if this change has a significant association, and how can I call it. I looked at a couple of books, and google but cannot find it.

Thanks!

ps. Photo quality not the best,sorry!

http://i38.tinypic.com/2cxsw2q.jpg

 

[britthumme]

First off your picture is crap. Second off that doesn't look like "muscular layer of colonic mucosa" (most people call that the muscularis mucosa), it's too thick unless this is the TVA stalk. It's probably the muscularis propria. Third that's nothing. If there's a dense lymphocytic infiltrate you can suggest microsatellite instability, but what you're looking at is nothing. Is this your first week signing out or what?

 

[lipomas]

Dude, I think those are vascular spaces. The inflammatory cells are quite possibly in the vascular spaces, which is where they often are.

Second, are you sure that's muscle?

Thirdly, I'm pretty sure you missed an acute leukemia and the patient is toast.

 

[pathres2]

most of them are eos, check for a parasite

 

[GeoLeoX]

yeah, those are vascular spaces full o' eos running through what appears to be smooth muscle. i wouldn't get too excited about eos unless they are extravasating into the mucosa or if there is an eosinophilic colitis. in summary and based on this EXTREMELY limited field - it's nothing. i wouldn't even get into the parasite/allergic/drug rxn differential.

 

[Isa2010]

Hi.

I saw this inflammatory cells dissecting the <link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CPATOLO%7E1%5CCONFIG%7E1%5CTemp%5Cmsohtml1%5C01%5Cclip_filelist.xml"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:HyphenationZone>21</w:HyphenationZone> <w😛unctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w😀ontGrowAutofit/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--><style> <!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-ansi-language:ES-MX;} @page Section1 {size:612.0pt 792.0pt; margin:70.85pt 3.0cm 70.85pt 3.0cm; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--><s>.
muscular layer of colonic mucosa.</s>-> muscularis externa I meant.....
in the context of a villous adenoma.
This may be a silly question, but I want to know if this change has a significant association, and how can I call it. I looked at a couple of books, and google but cannot find it.

Thanks!

ps. Photo quality not the best,sorry!

http://i38.tinypic.com/2cxsw2q.jpg

Yes I'm med student.

 

[KluverB]

Right. Just another HS student trying to diagnose Crohn's...

http://abcnews.go.com/Health/WellnessNews/story?id=7766583&page=1&page=1

😎

 

[britthumme]

If you're a med student it's totally excusable. Sorry. Good luck. Don't use oil on surgical pathology, stay high and dry.

 

[Dermbound00]

That picture looks exactly like the quality of image I had on the AP/CP boards?

Are you sure you dont submit questions for the ABP?

 

[LADoc00]

your pic is crap as someone said. This finding could be totally meaningless as:
1.) inflammation is common in ANY type of polyp
2.) eos are a normal component of the lamina propria in the bowel

your histology looks like crap too not just the pic, yikes.

 

[KluverB]

The pic just looks like someone snapped it through a microscope ocular with a cell phone.

 

[Isa2010]

That picture looks exactly like the quality of image I had on the AP/CP boards?

Are you sure you dont submit questions for the ABP?

Of course not! 😀


Thanks to those people who post possible answers, I'll search the options provided... and let me ask the pic to show you the complete lesion.

 

[mcfaddens]

If you're a med student it's totally excusable. Sorry. Good luck. Don't use oil on surgical pathology, stay high and dry.

You should update your status because according to it you are "a Pre Med student" as well for anyone who looks at your posts.. just lettin you know.. kinda seems weak when you post

 

[britthumme]

mcfaddens: "...kinda seems weak when you post"

Poor word choice. I think you mean disingenuous, not weak.