Research Article

Histomorphological Characteristics and Pathological Types of Hyperproliferation of Gastric Surface Epithelial Cells

Table 1

Histomorphologic changes caused by hyperplasia of gastric epithelial cells.

Hyperplasia typesHistomorphologic characteristics

Common hyperplasia of gastric epithelial cellsMorphologically focal glandular epithelial hyperplasia, with chronic inflammation of gastric mucosa; the height of hyperplastic gastric pits between 0.5 and 1.0 mm.
Drug-induced hyperplasia of gastric epithelial cellsNo or very little inflammatory cell infiltration in the stroma; the height of hyperplastic gastric pits is between 1 and 1.5 mm, with the cells arranged in a monolayer.
Hp infection-induced hyperplasia of gastric epithelial cellsOval, spherical, and bounded membrane-enclosed mucus-containing granules in the cytoplasm and on the nucleus are disappeared, with cytoplasmic swelling and vacuolation and positive expression of Hp
Metaplastic hyperplasia of gastric epithelial cellsCoexistence of intestinal metaplastic cells with hyperplastic gastric epithelial cells; cells were organized in a monolayer or stratified epithelium arrangement, with a nuclear length 1–2 times of that in normal epithelial cells
Atrophic hyperplasia of gastric epithelial cellsCompensatory and regional hyperplasia; it cannot be determined morphologically as intraepithelial neoplasia; mucosal atrophy (loss of glands) accompanied with hyperplasia of gastric pits, with varying degrees of decrease and even disappearance of gastric fundus glands, cardiac glands, and pyloric glands.
Low-grade neoplasia of epithelial cellsMild to moderate dysplasia of gastric epithelial cells, which were located at the base of the glandular epithelium, with increased nuclear length, retained polarity, and visible mitoses.
High-grade neoplasia of epithelial cellsEvident dysplasia of hyperplastic epithelial cells; cells were morphologically columnar to cuboidal, with large nuclei, increased nuclear cytoplasmic ratio, prominent nucleoli, and increased mitotic figures.