{"id":11203,"date":"2026-08-09T20:00:00","date_gmt":"2026-08-09T18:00:00","guid":{"rendered":"https:\/\/konspat.pl\/?p=11203"},"modified":"2026-08-17T17:17:31","modified_gmt":"2026-08-17T15:17:31","slug":"przypadek-376","status":"publish","type":"post","link":"https:\/\/konspat.pl\/index.php\/2026\/08\/09\/przypadek-376\/","title":{"rendered":"Przypadek 376."},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Pacjentka 67 letnia, w trakcie diagnostyki anemii na tle niedoboru witaminy B12 wykonano gastroskopi\u0119. W obr\u0119bie cz\u0119\u015bci antralnej i trzonu \u015bluz\u00f3wka nieco blada z prze\u015bwituj\u0105c\u0105 siatk\u0105 naczy\u0144. Pobrano wycinki z trzonu \u017co\u0142\u0105dka. Test ureazowy ujemny. W wykonanych badaniach dodatkowych obecno\u015b\u0107 przeciwcia\u0142 przeciw kom\u00f3rkom ok\u0142adzinowym (APCA)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do badania makroskopowego nades\u0142ano 5 fragment\u00f3w tkankowych wym. od 0,2 do 0,4cm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Obrazy mikroskopowe:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212021-1024x768.jpg\" alt=\"\" class=\"wp-image-11192\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212021-1024x768.jpg 1024w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212021-300x225.jpg 300w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212021-768x576.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212021-1536x1152.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212021-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"810\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212046-1024x810.jpg\" alt=\"\" class=\"wp-image-11193\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212046-1024x810.jpg 1024w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212046-300x237.jpg 300w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212046-768x608.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212046-1536x1215.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212046-2048x1620.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"810\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212109-1024x810.jpg\" alt=\"\" class=\"wp-image-11194\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212109-1024x810.jpg 1024w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212109-300x237.jpg 300w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212109-768x608.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212109-1536x1215.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212109-2048x1620.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212151-768x1024.jpg\" alt=\"\" class=\"wp-image-11195\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212151-768x1024.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212151-225x300.jpg 225w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212151-1152x1536.jpg 1152w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212151-1536x2048.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212151-scaled.jpg 1920w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212205-768x1024.jpg\" alt=\"\" class=\"wp-image-11196\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212205-768x1024.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212205-225x300.jpg 225w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212205-1152x1536.jpg 1152w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212205-1536x2048.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212205-scaled.jpg 1920w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"734\" height=\"1024\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212227-734x1024.jpg\" alt=\"\" class=\"wp-image-11197\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212227-734x1024.jpg 734w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212227-215x300.jpg 215w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212227-768x1071.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212227-1101x1536.jpg 1101w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212227-1469x2048.jpg 1469w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212227-scaled.jpg 1836w\" sizes=\"auto, (max-width: 734px) 100vw, 734px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"742\" height=\"1024\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212252-742x1024.jpg\" alt=\"\" class=\"wp-image-11198\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212252-742x1024.jpg 742w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212252-217x300.jpg 217w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212252-768x1060.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212252-1112x1536.jpg 1112w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212252-1483x2048.jpg 1483w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212252-scaled.jpg 1854w\" sizes=\"auto, (max-width: 742px) 100vw, 742px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212445-1024x768.jpg\" alt=\"\" class=\"wp-image-11199\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212445-1024x768.jpg 1024w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212445-300x225.jpg 300w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212445-768x576.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212445-1536x1152.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212445-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212522-768x1024.jpg\" alt=\"\" class=\"wp-image-11200\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212522-768x1024.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212522-225x300.jpg 225w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212522-1152x1536.jpg 1152w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212522-1536x2048.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212522-scaled.jpg 1920w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"775\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212547-1024x775.jpg\" alt=\"\" class=\"wp-image-11201\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212547-1024x775.jpg 1024w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212547-300x227.jpg 300w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212547-768x581.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212547-1536x1163.jpg 1536w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/IMG_20260721_212547-2048x1550.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Cechy charakterystyczne:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>b\u0142ona \u015bluzowa trzonu \u017co\u0142\u0105dka z zanikiem prawid\u0142owych gruczo\u0142\u00f3w trawie\u0144cowych zawieraj\u0105cych kom\u00f3rki ok\u0142adzinowe i g\u0142\u00f3wne, z obecno\u015bci\u0105 metaplazji jelitowej z kom\u00f3rkami \u015bluzotw\u00f3rczymi (czerwona strza\u0142ka) i Panetha (\u017c\u00f3\u0142ta strza\u0142ka) oraz rzekomood\u017awiernikowej<\/li>\n\n\n\n<li>w obr\u0119bie blaszki w\u0142a\u015bciwej obecny jest \u015brednio nasilony odczyn zapalny sk\u0142adaj\u0105cy si\u0119 z limfocyt\u00f3w (niebieska strza\u0142ka) z domieszk\u0105 plazmocyt\u00f3w (zielona strza\u0142ka) oraz niewielkie w\u0142\u00f3knienie<\/li>\n\n\n\n<li>brak cech dysplazji, brak aktywno\u015bci zapalenia<\/li>\n\n\n\n<li>brak obecno\u015bci Helicobacter pylori w badaniach dodatkowych<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"734\" height=\"1024\" src=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/zanikowe-zola--734x1024.jpg\" alt=\"\" class=\"wp-image-11202\" srcset=\"https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/zanikowe-zola--734x1024.jpg 734w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/zanikowe-zola--215x300.jpg 215w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/zanikowe-zola--768x1071.jpg 768w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/zanikowe-zola--1101x1536.jpg 1101w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/zanikowe-zola--1469x2048.jpg 1469w, https:\/\/konspat.pl\/wp-content\/uploads\/2026\/08\/zanikowe-zola--scaled.jpg 1836w\" sizes=\"auto, (max-width: 734px) 100vw, 734px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Rozpoznanie:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zanikowe zapalenie b\u0142ony \u015bluzowej trzonu \u017co\u0142\u0105dka (Atrophic gastritis). W po\u0142\u0105czeniu z danymi klinicznymi odpowiadaj\u0105ce zapaleniu autoimmunologicznemu<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dodatkowe zdj\u0119cia i informacje:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.pathologyoutlines.com\/topic\/stomachchronicatrophic.html\">https:\/\/www.pathologyoutlines.com\/topic\/stomachchronicatrophic.html<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.webpathology.com\/images\/gastrointestinal\/stomach\/inflammatory-disorders\/41965\">https:\/\/www.webpathology.com\/images\/gastrointestinal\/stomach\/inflammatory-disorders\/41965<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/patologia.cm.umk.pl\/atlas\/gastrointestinal\/stomach\/gastritis2\/index2.html\">https:\/\/patologia.cm.umk.pl\/atlas\/gastrointestinal\/stomach\/gastritis2\/index2.html<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Pacjentka 67 letnia, w trakcie diagnostyki anemii na tle niedoboru witaminy B12 wykonano gastroskopi\u0119. W obr\u0119bie cz\u0119\u015bci antralnej i trzonu<\/p>\n","protected":false},"author":46,"featured_media":11193,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[16,23],"tags":[],"class_list":["post-11203","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-akademia-patologa","category-przypadki"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts\/11203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/users\/46"}],"replies":[{"embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/comments?post=11203"}],"version-history":[{"count":2,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts\/11203\/revisions"}],"predecessor-version":[{"id":11257,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts\/11203\/revisions\/11257"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/media\/11193"}],"wp:attachment":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/media?parent=11203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/categories?post=11203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/tags?post=11203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}