Pathology · Neoplasia (Classification, Carcinogenesis, Tumor Markers, Paraneoplastic)

During autopsy, a 70-year-old man is found to have a small focus of normal pancreatic tissue embedded in the wall of his stomach. This lesion is best classified as:

  • A Hamartoma
  • B Choristoma
  • C Teratoma
  • D Metaplasia
Correct answer: B. Choristoma

Explanation

A choristoma is a heterotopic rest of normally organized tissue located at an abnormal site, such as pancreatic tissue in the stomach or gastric mucosa in a Meckel diverticulum. A hamartoma is disorganized overgrowth of tissue indigenous to the site, such as a Peutz-Jeghers polyp. Teratomas contain derivatives of multiple germ layers arising from totipotent cells, and metaplasia is a reversible change of one differentiated tissue into another within the same site.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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