Normal mucosa |
Regular (uniform) architecture of surface and glandular epithelium |
Epithelial cells are uniformly lined up along the basement membrane |
Regular “honey-comb” appearance of vascular pattern |
Normal cell polarity of surface and glandular epithelium, normal aspect of mucin-producing goblet cells |
Nonadenomatous polyps |
Slightly disturbed architecture: enlarged, branch-like, elongated crypts |
Epithelial cells are morphologically normal, preserved cell polarity |
Increased number of cells in the crypts |
Depletion of goblet cells |
Mild alterations of vascular pattern |
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Inflammatory infiltrate of lamina propria, decreased crypt/stroma ratio |
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Adenomatous polyps |
Disturbed architecture: mild irregularity of the crypts, eventual villous transformation, increased crypt/stroma ratio, crypt destruction |
Incomplete to lack of epithelial surface maturation |
Mild to moderate alterations of vascular pattern |
Slightly cytonuclear atypia |
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Islands of malignant cells |