An Atlas of Gross Pathology by Christopher D. M. Fletcher, Philip H. McKee

By Christopher D. M. Fletcher, Philip H. McKee

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They occur most often in the first pari, particularly on the anteri or wall and produce similar complications to ulcers in the stomach . II , (I" . 22 Gastric leiomyoma. ; apex. The cut surface (right) reveals that the tumou r is "" ' " 11( IIJY a layer of attenuated , normal epithelium . Leiomyomas are ,,, ,11 11" 1IIIIIYlOn benign gastric tu mours, whic h are often asympI, ,". 24 Periampullary carcinoma. Thi s segment of duodenum has been opened to show a fungating, focally ulcerated tumour arising around the ampulla of Vate r.

Lh ,n. Their malignant counterparl, loiolllY, I'"", 111 11 I'"I' I/ lly I,II U ''''' i; 3 Alimentary System 'I It IlliuJ1om a. ,,11 1It " 11011 rrojecting from the mucosal su rface ' Ii I' '"', 'VI( lonce of ulceration or adjacent infiltration . ,. 11 '" 'Illy rarely pedunculated. Th ey have exactly 1I I' " " II 1"111 illi llil and are often seen in associalion with I II, 'I'" 11111 '. hll ndl)nocarcinoma. In the fundus of the stomac h is ' llilll'dil willi Irregu lar rolled edges. Adenocarcinoma 1I II "11111111110 most common causes of death due to I.

In this clo se·up v iew. an approx· area of subca psu lar parenchyma shows a with slight concavi ty of the overlyi ng appearance which results from throm­ radicle. usually as a consequence of a sm all by tumour The hepatic arterial supply in such cases. but parenchymal atrophy and acute idiopathic fatty change Pregnancy fatty change with hyperemesis Severe systemic infection Pathological obesity 1 Cystic fibrosis , , thrombosis. A large branch of the portal vei n is thrombus. Note that the li ver parenchyma shows Cirrhosis.

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