Digestive system Final Practical Gross Pathology 10/11
Diagnosis Comment
D 7-1 Specimen :
Tongue
Ulcerative carcinoma of Description :
tongue The dorsum of the anterior part of the tongue shows an ulcerative
growth
The ulcer is single
It is oval & slightly irregular
It is about 4x2cm
Its edges are raised everted
Its floor is necrotic
D 38-1 Specimen :
Part of the stomach
Gastric peptic ulcers Description :
Two ulcers are seen [large & small]
The larger : oval & measures 3x2cm
The smaller : rounded & measures 1x1cm
Both have sharp edges, but the large ulcer is deep, while the small
ulcer is shallow
Their floors are greyish & clean
D 38-2 Specimen :
Part of the stomach
Perforated gastric peptic Description :
ulcer A single small round ulcer [1x1cm] is seen
Localized septic It edges are sharp
peritonitis Its base is perforated
Opposite the perforation :
The serosal covering shows yellow fibrin deposit
D 49-7 Specimen :
Stomach
Gastric carcinoma ; Description :
diffuse infiltrative pattern The stomach appears rigid & contracted
The gastric wall is diffusely thickened & infiltrated by a greyish
growth
The mucosal folds dissappeared
D 61-6 Specimen :
A segment of ileum [small intestine]
Secondary intestinal Description :
tuberculosis The mucosa show multiple transverse ulcers with undermined edges
& yellowish caseous floor
D 70-5 Specimen :
Part of sigmoid colon
Bilharzial polyps of colon Description :
The mucosa shows numerous variable sized greyish sessile,
pedunculated & branching polyps
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Diagnosis Comment Final Practical Gross Pathology 10/11
D 76-6 Specimen :
Half of an appendix
Acute suppurative Description :
appendicitis with The appendix is markedly swollen
perforation The mucosal lining is dull & necrotic
Septic peritonitis The wall of appendix is perforated near the tip; with yellowish
exudate deposited on the outer surface
A piece of omentum is adherent to the appendix
D 80-1 Specimen :
Distal ileum, appendix & open coecum
Ileocoecal [entero-colic] Description :
intussusception The ileum [intussusceptum] is invaginated into the caecum [intussuscepient]
associated with gangrene The ileum appears black, shreddy & gangrenous
D 80-6 Specimen :
A segment of small intestine
Enteric intussusception Description :
associated with gangrene A segment of the small intestine [intussusceptum] is invaginated
Intestinal taeniasis into an adjacent part [intussuscepient]
The intussusceptum is black, shreddy & gangrenous
A taenia worm is seen projecting from the tip of intussusceptum
D 80-9 Specimen :
A segment of a small intestine
Enteric intussusception Description :
associated with gangrene A segment of intestine [intussusceptum] is invaginated into the
distal segment [intussuscepient]
The intussusceptum is dark, shreddy & gangrenous
A necrotic oval tumor is seen at the apex of intussusceptum
D 86-9 Specimen :
Terminal ileum, ileocoecal valve & coecum
Carcinoma of the ileo- Description :
coecal valve : infiltrative A greyish infiltrative annular growth is seen at the region of the
annular patter ileocoecal valve & adjacent parts of ileum & coecum
The lumen is narrowed
D 89-3 Specimen :
A segment of ileum
Meckel’s diverticulum Description :
A diverticulum, 10 cm in length is seen arising from the ileum at its
antimesenteric border
The wall of diverticulum is similar to and continuous with the
intestinal wall
D 89-7 Specimen :
A segment of ileum with its mesentery
Meckel’s diverticulum Description :
Intestinal volvulus with An intestinal diverticulum, 3cm in length is seen arising from the
gangrene ileum at its antimesenteric border
Septic peritonitis The intestine is twisted [volvulus]
The intestinal wall is swollen & gangrenous
The mesentery shows dull hyperaemic patches
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Diagnosis Comment Final Practical Gross Pathology 10/11
D 105-2 Specimen :
Slice of liver
Liver steatosis [fatty Description :
change] Cut surface of the liver slice shows diffuse yellow colouration with
rounded borders indicating soft consistency
D 106-5 Specimen :
Sectioned liver
Amyloidosis of liver Description :
The liver is markedly enlarged with sharp edges [indicate firm consistency]
The cut surface shows multiple pale brown waxy semitranslucent
amyloid deposits
The liver tissue in between appears yellowish brown [steatosis]
D 109-1 Specimen :
A slice of liver
Chronic venous Description :
congestion of liver The liver is enlarged
The cut surface shows nutmeg appearance i.e
A yellow background [steatosis] & numerous dark red foci of
congestion
The surface of the liver shows shallow depressions [fibrosis]
D 117-3 Specimen :
A sectioned liver
Hepar lobatum Description :
The outer surface of liver appears lobulated
The cut surface of liver shows multiple yellowish healed gummata
Fibrous scarring [due to healing] pulled on the surface causing
depressions [lobulation]
D 122-6 Specimen :
Part of trunk showing parts of liver [right lobe], base of right lung,
Amoebic liver abscess diaphragm, as well as kidney & colon [hepatic flexure]
perforating through the Description :
diaphragm & extending The liver shows a large irregular abscess with yellowish brown
into base of right lung shreddy necrotic wall
The abscess has ruptured through the diaphragm & extended into
the base of the right lung
D 126-4 Specimen :
Section of the liver
Coarse periportal Description :
bilharzial hepatic fibrosis The surface of the liver shows irregular depressions
The cut surface shows fibrosed thickened greyish white portal
tracts
The liver tissue in between shows no regenerative nodules & is
dark brown
D 127-1 Specimen :
A slice of liver
Liver cirrhosis Description :
The surface & the cut section of the liver are diffusely nodular
The regeneration nodules are small [2-10mm in diameter], pale
yellow & separated by grey fibrous strands
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Diagnosis Comment Final Practical Gross Pathology 10/11
D 135-12 Specimen :
Section of the liver & lung
Multifocal hepatoma on Description :
top of cirrhosis The cut surface of the liver shows multiple scattered tumour
Lung metastases masses
The masses are rounded & non capsulated
The cut surface & outer surface of the liver show regeneration
nodules
The base of the lung show multiple metastatic nodules which are
non capsulated, variable in size & greyish in colour
D 136-1 Specimen :
A liver slice
Liver metastases Description :
[metastatic carcinoma] The length of the liver slice denotes an enlarged liver
The cut surface shows multiple variable-sized non capsulated
yellowish well defined metastatic nodules
Some metastatic nodules show central umbilication [depression]
due to necrosis
D 147-1 Specimen :
Open gall bladder
Chronic cholecystitis Description :
Pigment stones The wall shows fibrous thickening
The cavity of the gall bladder contains few pigment stones
The stones are small, black & irregular
D 147-3 Specimen :
Open gall bladder
Chronic cholecystitis Description :
Mixed gall stones The wall is markedly thickened, white & fibrous
The cavity of the gall bladder is reduced &
Multiple mixed stones are seen
The stones have facetted surfaces
D 148-2 Specimen :
Open gall bladder
Chronic cholecystitis Description :
Cholesterol gall stone The wall is thick, grey & fibrous
[solitary] The cavity of the gall bladder shows a solitary, yellowish
cholesterol stone, 2x1 cm with mammilated surface
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