Table 17-5

Question 1

Dx:Ménétrier Disease
Mean patient age (yr)
Location
Predominant cell type
Inflammatory infiltrate
Symptoms
Risk factors
Association with adenocarcinoma

Answer 1

30-60
Body and fundus
Mucous
Limited, lymphocytes
Hypoproteinemia, weight loss, diarrhea
None
Yes

Question 2

Dx:Zollinger-Ellison Syndrome
Mean patient age (yr)
Location
Predominant cell type
Inflammatory infiltrate
Symptoms
Risk factors
Association with adenocarcinoma

Answer 2

50
Fundus
Parietal > mucous, endocrine
Neutrophils
Peptic ulcers
Multiple endocrine neoplasia
No

Question 3

Dx: Inflammatory and Hyperplastic Polyps
Mean patient age (yr)
Location
Predominant cell type
Inflammatory infiltrate
Symptoms
Risk factors
Association with adenocarcinoma

Answer 3

50-60
Antrum > body
Mucous
Neutrophils and lymphocytes
Similar to chronic gastritis
Chronic gastritis, H. pylori
Occasional

Question 4

Dx: Gastritis Cystica
Mean patient age (yr)
Location
Predominant cell type
Inflammatory infiltrate
Symptoms
Risk factors
Association with adenocarcinoma

Answer 4

Variable age
Body
Mucous, cyst-lining
Neutrophils and lymphocytes
Similar to chronic gastritis
Trauma, prior surgery
No

Question 5

Dx: Fundic Gland Polyps
Mean patient age (yr)
Location
Predominant cell type
Inflammatory infiltrate
Symptoms
Risk factors
Association with adenocarcinoma

Answer 5

50
Body and fundus
Parietal and chief
None
None, nausea
None
PPIs, FAP
Syndromic (FAP) only

Question 6

Dx: Gastric Adenomas
Mean patient age (yr)
Location
Predominant cell type
Inflammatory infiltrate
Symptoms
Risk factors
Association with adenocarcinoma

Answer 6

50-60
Antrum > body
Dysplastic, intestinal
Variable
Similar to chronic gastritis
Chronic gastritis, atrophy, intestinal metaplasia
Frequent