Qap (Anatomical Pathology) 

QAP Peer Review

AP110
Case History: F/61. Anemia. Gastric mucosa with water melon appearance
Intended diagnosis: Gastric antral vascular ectasia. Contributed by:MST
Code Diagnosis Comment Score
anonymous Gastric antral vascular ectasia (100%) nil  100
anonymous Gastric antral vascular ectasia, 100% nil  100
anonymous Consistent with gastric antral vascular ectasia. 100% nil  100
anonymous Gastric biopsy : Gastric antral vascular ectasia (100%) The cause is unknown but some cases are related to mucosal trauma or mucosal prolapse through the pylorus. Vascular ectasia may also occur in the stomach of patients with portal hypertension but endoscopic findings are different and the changes involve the gastric fundus rather than the antrum.  100
anonymous Gastric antral vascular ectasia(100%) nil  100
anonymous Gastric antral vascular ectasia suggest clinical correlation for presence of portal hypertension.  100
anonymous Gastric antral vascular ectasia(watermelon stomach). 100% nil  100
anonymous Gastric antral vascular ectasia. 100% nil  100
anonymous HP-ve chronic gastritis and gastric mucosal morphology compatible with GAVE 100% nil  95
anonymous Gastric antral vascular ectasia (100%) Presence of brownish refractile substance on mucosal surface, probably iron (therapy). Suggest iron stain to work up the nature of foreign material.  100
anonymous hypertrophic gastropathy nil  50
anonymous benign gastritis consistent with gastic antral vascular ectasia H pylori negative ........... don't know what is the essential information the examiner wants For these type of cases, I would prefer a multichoice format, because it is an open question which you can make many many negative comments and yet cannot satisfy the one setting the question. The format I suggested is used by the ASCP, which consistently set about 20 possible answers and you are suppose to choose the best.  95
anonymous Reactive changes compatible with antral vascular ectasia (100%) Please correlate with the endoscopic appearance  100
anonymous Stomach : Gastric antral vascular ectasia (100%), No Helicobacter pylori present nil  100
anonymous GAVE (gastric antral vascular ectasia) 100% nil  100
anonymous Gastric antral vascular ectasia (GAVE) Probability: 100% nil  100
anonymous Gastric antral vascular ectasia nil  100
anonymous gastric antral vascular ectasia (100%) nil  100