KROK 1 2012 – Question 137 · KROK (Medicine) · Pathomorphology

Examination of a bronchial tissue sample revealed atrophy of mucous membrane, cystic degeneration of glands, focal metaplastic changes of lining prismatic epithelial cells into multilayer squamous cells; increase in goblet cell number; in some parts of bronchial wall and especially in the mucous membrane there was marked cellular inflammatory infiltration and growth of granulation tissue bulging into the bronchial lumen in form of a polyp. What is the most likely diagnosis?

  1. A. Bronchopneumonia
  2. B. Interstitial pneumonia
  3. C. Lobar pneumonia
  4. D. Chronic bronchitis
  5. E. Acute bronchitis
Hint

Ask whether metaplasia, glandular atrophy and granulation tissue indicate a short-lived or a long-standing process, and which part of the respiratory tract is mainly involved.

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