By Christopher D. M. Fletcher, Philip H. McKee
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Additional resources for An Atlas of Gross Pathology
Jouse is most common in Japan and ! 1II" ,"l1y Il lv()lIred aetiological agents are nitros , " li lt 11 11 " il l" ',h lc! III'1 1\l IOWIl predisposing conditions include 1,111' 1/11' 11111' . IIlId IIlIc ommonly , gastric adenomata . 1 1111" II. Fig. 21 Linitis plastica ('leather-bottle' stomach). The stomach has been dissected to show diffuse infiltration of muc h of the greater curve by pale, rigid tu mour, resultin g in shrinkage of the gastriC lumen . This macroscopic variant of adenocarcinoma of the stomach represents widespread infi ltration by poorly differentiated tumour with an associated dense fibrous (desmoplastic) stroma.
These are dilated veins, situated predominantly in the lower oesophagus, which develop as a complication of chronic portal hypertension, most often due to cirrhosis of the liver . They are prone to rupture with resultant haematemesis . The oesophagus has been opened long itudinally to displ ay numerous tortuous, dilated vei ns and. in the lower half of the picture, a mass of blood clot is present in the stomach . Fig. 10 Achalasia. The oesophagus and gastric fundus have been opened to dis· play gross dilatation of the oesophageal lumen.
They have no malignant potential. f1,"I1'I ,II P'I' Il h" l! 46 Villous adenoma. This example btl'l 1)11"" I ,Ii, race to show that it is a large, broad-bassrl :1,'" ', 01,, 1"', 1 whi c h numerous irregular papillary frond s projoCi N, II .. ",'"" h"" ",' :tllm may somelimes secrele large amOllnl ' , 01I" ,I ", ,I ,01 1"" n,n, giving rise to symptoms of hypokflli 1( 1" 11,' , II I'VI ' 1IIIII'"';tcm,a . 45 Tubular adenoma. A typical example of a tubular adenoma projecting from the mucosa of the large bowel (upper) .