Male 65 years

Large intestine: BCSP - 7 polyps of which this is part of a 3.4cm pedunculated sigmoid polyp

Sex unknown 58 years

Large intestine: Colonic infarction.

Macro: Subtotal colectomy and segmental resection of small bowel loop

Female 54 years

Peritoneum: Peritoneal carcinomatosis ?primary.

Macro: Peritoneal biopsy - omental fat 18x15x12mm with firm nodular areas.

Specials: Alcian blue, grimelius, cam5.2, ck7, ck20, EMA, BerEP4, CEA, synaptophysin, chromogranin, e cadherin all positive. CD56, calretinin, WT1, CA125, ER all negative

Female 88 years

Small intestine: Longstanding Crohn's disease. Previous resection / stricturoplasties. Length of chronically diseased ileum resected. No overt active disease.

Macro: A 49cm length of small bowel. Normal external surface. On opening several concentric mucosal narrowings of the lumen 2 to 5 cm apart with ulceration on the apex of several of these

Male 32 years

Appendix: Crohn's disease involving terminal ileum and ascending colon with ? stricture.

Macro: 22cm of terminal ileum and 10cm of large bowel with attached 7cm long appendix. Small bowel showed cobble stoning with ulcers. Appendix and large bowel unremarkable. Section from appendix submitted.

Female 65 years

Stomach: Irregular large refractory proximal gastric ulcer.

Macro: Gastric biopsy, four grey fragments of tissue each approx 0.2cm.

Specials: Alcian blue negative, Congo red positive, immuno - helicobacter negative, AA amyloid positive.

Female 67 years

Gallbladder: ? carcinoma or all due to gall stones. Gallstones with erosion into common cystic duct.

Macro: A gall bladder 60mm in length and up to 15mm in diameter. Wall thickness 4mm, two gallstones 15 and 19mm in diameter.

Male 78 years

Small intestine: Lesion in ileum and large lesion in mesentery, involving the appendix. Resected in toto.

Macro: Right hemicolectomy and separate small bowel resection Coiled mass of dusky ischemic and haemorrhagic small bowel at least 600mm long. 2 nodules of pale tumour in ileum with abscess and nodal mass in mesentery. Block 13=ileal nodule. Appendix normal

Female 60 years

Large intestine: Diarrhoea. Normal ileocolonoscopy. Biopsy series terminal ileum to rectum ? microscopic colitis.

Macro: Colonic biopsy - 5 tissue fragments.

Specials: Congo red negative.

Male 75 years

Pancreas: Cystic mass in tail of pancreas.

Macro: Distal pancreatectomy / splenectomy. Multicystic mucinous tumour measuring 84mm maximum extent, communicated with pancreatic duct histologically confirmed at resection margin.

Female 44 years

Small intestine (non scoring case): Mass arising from jejunum.

Male 27 years

Oesophagus (non scoring case): Food impaction. Asthma. Oesophageal biopsy.

Female 65 years

Large intestine (non scoring case): Sigmoid tumour. Preoperative therapy. Resection of sigmoid, colon, rectum, uterus adnexae. Firm tumour involving uterus and colon.

Sex unknown 47 years

Small intestine (non scoring case): History of coeliac disease. Losing weight on gluten free diet - laparotomy revealed abnormal bowel.