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Overview of Gastric Pathology: Non-Neoplastic Diseases

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Environmental/Type B/Multifocal Atrophic<br />

Gastritis<br />

• Heterogeneous disease due to chronic H. pylori gastritis,<br />

dietary factors, etc.<br />

• Disease most commonly involves the antrum and/or antrumcorpus<br />

junction, but may be seen anywhere in the stomach<br />

• Histopathology is characterized by:<br />

– Chronic inflammation<br />

– Gland atrophy<br />

– Intestinal metaplasia<br />

– Pylori metaplasia (with involvement <strong>of</strong> the corpus)<br />

– Patchy and/or focal involvement<br />

• Identified as the precancerous lesion in 95% <strong>of</strong> early gastric<br />

adenocarcinomas in Japan

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