Peptic Ulcer Disease · Pathology

Which of the following is an absolute requirement for the diagnosis of a gastric ulcer as benign on biopsy?

  1. Presence of H. pylori
  2. Absence of cytological atypia in the epithelium
  3. Infiltration of eosinophils
  4. Complete absence of granulation tissue
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Correct answer: Absence of cytological atypia in the epithelium

Because some gastric carcinomas can present as ulcers, multiple biopsies from the ulcer margins are required to rule out malignancy by confirming the absence of atypical, neoplastic epithelial cells.

Difficulty: Medium Question 11 of 20

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