Stomach, Forestomach, Epithelium - Hyperplasia, Atypical

comment:
Some chemicals cause atypical hyperplasia of the forestomach that is characterized by hyperplasia and disorganization, abnormal keratinization, or the presence of abnormal cells ( Figure 1

recommendation:
Atypical hyperplasia should be diagnosed and graded whenever present. If there are features of atypia, such as diskeratinization, disorganization, or the presence of atypical cells, then atypical hyperplasia should be diagnosed. If the pathologist feels that two distinct hyperplastic processes are present (e.g., diffuse and atypical), then both should be diagnosed and thoroughly described in the pathology narrative. The modifiers "focal" and "diffuse" should be used whenever possible. Grading should be based on the size, extent of distribution, and thickness of the epithelium. Multifocal lesions are not recorded as "multifocal" but are given a higher severity grade than singlelesions.
references:
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Betton GR, Salmon GK. 1984. Pathology of the forestomach in rats treated for one year with a new H-2 receptor antagonist, SK&F 93479 trihydrochloride. Scand J Gastroenterol Suppl 101:103-108. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/2888184
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National Toxicology Program. 2010. NTP TR-558. Toxicology and Carcinogenesis Studies of 3,3’,4,4’-Tetrachloroazobenzene (TCAB) (CAS No. 14047-09-7) in Harlan Sprague Dawley Rats and B6C3F1 Mice (Gavage Studies). NTP, Research Triangle Park, NC. Abstract: https://ntp.niehs.nih.gov/go/33564
Nera EA, Lok E, Iverson F, Ormsby E, Karpinski DF, Clayson DB. 1984. Short term pathological and proliferative effects of butylated hydroxyanisole and other phenolic antioxidants in the forestomach of Fischer 344 rats. Toxicology 32:197-213. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/6474484
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