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Low grade dysplasia in stomach

Dysplasia: Low-grade dysplasia treatment - Orlando Gastro

  1. When a doctor says they saw low-grade dysplasia, it means they saw signs of the early stage of precancerous changes. If low-grade dysplasia is found, it must be verified by an experienced pathologist. Your doctor may recommend another endoscopy in six months if low-grade dysplasia is found in your cells
  2. 2 = indefinite for dysplasia: foveolar hyperproliferation or hyperproliferative intestinal metaplasia 3 = noninvasive neoplasia: low grade, high grade (includes suspicious for in situ [intraglandular] and in situ) 4 = suspicious for invasive cancer 5 = cance
  3. Gastric epithelial dysplasia occurs when the cells of the stomach lining (called the mucosa) change and become abnormal. These abnormal cells may eventually become adenocarcinoma, the most common type of stomach cancer. Gastric epithelial dysplasia can be divided into 2 types: low-grade dysplasia - The abnormal cells change and grow slowly

Stomach dysplasia is a precancerous condition in which cells in the lining of the stomach develop abnormal changes that can, in rare cases, lead to cancer. In the low-grade condition, it is uncommon for patients to go on to develop stomach cancer. However, in the high-grade condition, the risk increases substantially

It is reported that low-grade dysplasia persists in 19-50% of cases but regresses in 38-75%.46, 47, 48 The risk of progression to high-grade dysplasia is suggested to be 17%. 49 There has also been variation in figures quoted for progression to adenocarcinoma but more recent studies suggest that this is in the order of 0-9%.49, 50 Follow. Gastric dysplasia is neoplastic in nature and is a direct precursor of GC, as well as a risk factor of carcinoma in other locations of the stomach [5, 6]. Dysplasia is graded as low- or high grade on the basis of architectural and cell features Things to look for... Parietal cells (indicate you're in the body of the stomach) - pink (eosinophilic) cytoplasm. Lack of parietal cells -- DDx: Bx of antrum (pylorus), Bx of cardia, pernicious anemia. Goblet cells = intestinal metaplasia

the stomach of individuals with FAP.32-35 When present, Gastric intestinal metaplasia and dysplasia Patients with gastric intestinal metaplasia (GIM) may consensus statement suggested that if low-grade dysplasia is detected in a patient with GIM, a repeat surveillanc The upper endoscopy showed I had polyps covering the entire stomach, 2 of the polyps collected showed evidence of low grade dysplasia. Now the doctors are interested in giving me a Total Gastrectomy with Roux-en-Y Esophago-jejunostomy (whatever that means?).And in the future, I am to consider a full removal of the colon

The low grade dysplasia in your stomach was seen in a small (4 mm polyp), which was completely removed. If you have H.pylori this should be eradicated, and the repeat endoscopy will look for any residual polyps and take extensive biopsies Though the diagnosis of gastric low grade dysplasia (LGD) is generally made from endoscopic forceps biopsy (EFB), the accuracy is doubtful after numerous EFB-proven gastric LGD were upgraded to gastric high grade dysplasia (HGD) or even carcinoma (CA) by further diagnostic test with the procedure of endoscopic resection (ER) Intestinal Metaplasia Surveillance Intestinal metaplasia (IM) of the stomach is a risk factor in developing intestinal-type gastric cancer. It occurs as a result of reduced acidity within the stomach, with gastric mucosa changing its appearance more in keeping with intestinal mucosa STOMACH, ANTRUM, BIOPSIES: - ANTRAL-TYPE MUCOSA WITH FOCUS OF LOW-GRADE DYSPLASIA (INTESTINAL TYPE). - EXTENSIVE INTESTINAL METAPLASIA. - MODERATE CHRONIC INFLAMMATION. - NEGATIVE FOR HELICOBACTER-LIKE ORGANSIMS Low grade dysplasia may be difficult to differentiate accurately from atypical reactive/regenerative epithelial changes. 4 14 52 53 In the latter, the cells usually appear immature and may be cuboidal with basophilic cytoplasm, large but often widely opened and relatively widely spaced vesicular nuclei and reduced or absent mucus secretion

Pathology Outlines - Dysplasi

  1. If a patient has an upper GI endoscopy (a camera test to view the inside of the oesophagus and stomach) and high-grade dysplasia is found, or low-grade dysplasia is present on two endoscopies, 6 months apart, doctors will consider using endoscopic therapies to remove all of the Barrett's segment to prevent progression to cancer
  2. Low-grade dysplasia means that some of the cells look abnormal when seen under the microscope. These cells may look a lot like cancer cells in some ways, but unlike cancer, they do not have the ability to spread all over your body. This is a very early form of pre-cancer of the esophagus
  3. Low-grade dysplasia is considered the early stage of precancerous changes. If low-grade dysplasia is found, it should be verified by an experienced pathologist. For low-grade dysplasia, your doctor may recommend another endoscopy in six months, with additional follow-up every six to 12 months
  4. Sporadic FGPs have been reported in 0.8% to 1.9% of patients who undergo upper endoscopy. 3, 4 They are slightly more common in women than in men, and their occurrence has been associated with prolonged use of proton pump inhibitors (PPIs). 3, 4 In sporadic FGPs, low-grade epithelial dysplasia has been described, but its prevalence is extremely.
  5. Gastric/Foveolar-type dysplasia has tubulovillous or serrated fronds lined by cuboidal to columnar cells resembling gastric foveolar cells. Nuclei are round to oval. There is apical neutral mucin. Regardless of type, graded as high vs low: Low-grade dysplasia: preserved polarization (basal nuclei), relatively preserved architectur
  6. The natural history of H. pylori infection in the stomach is to go through a cascade of events, including non-atrophic gastritis, atrophic gastritis, intestinal metaplasia, dysplasia, and finally cancer [28,29]; and the presence of H. pylori infection has showed to be associated with an increased risk of progression to dysplasia or gastric.
  7. Bacterial stomach infection. Helicobacter pylori (H. pylori) bacteria are a common cause of the gastritis that contributes to hyperplastic polyps and adenomas. Familial adenomatous polyposis. This rare, inherited syndrome increases the risk of colon cancer and other conditions, including stomach polyps

Precancerous conditions of the stomach - Canadian Cancer

We recommend that patients with non-visible, low-grade dysplasia (LGD) should undergo a second endoscopy with enhanced imaging and extensive biopsy sampling, followed by a repeat endoscopy within 1 year if no visible neoplasia is detected. If there is persistent, non-visible LGD, endoscopy should be repeated annually thereafter (evidence level: low Dysplasia is a precursor of invasive adenocarcinoma. Patients with high-grade dysplasia, in general, have a higher risk of association or progression as compared with patients with low-grade dysplasia . A nationwide cohort study in the Netherlands evaluated the progression of dysplasia to frank gastric cancer in 165 patients with high-grade. Barretts dysplasia is a condition in which the cells in the esophagus lining show cancerous properties. The dysplasia ranges from low grade to high grade according to the damage seen in the esophagus. Cells in the esophagus that come under high grade dysplasia have a higher chance of turning into cancerous cells Barrett's esophagus with dysplasia . Dysplasia is the presence of precancerous cells. Your doctor may recommend frequent monitoring or treatment to prevent cancer from developing. Low-grade dysplasia. Low-grade dysplasia means you have some abnormal cells, but the majority aren't affected

Low grade dysplasia is much less threatening than high grade dysplasia, but we don't know just how much less. Fried, fatty, and spicy foods, and alcohol aggravate gastritis symptoms. Other stomach lining irritants that aggravate symptoms include cigarette smoking, acidic juices, caffeine, tomato products, peppers, and chili powder Gastroesophageal reflux disease (GERD) can be complicated by Barrett's esophagus (BE), a change in the normal esophageal cells to intestinal-like cells. BE cells can become abnormal or dysplastic. Low grade and then high grade dysplasia can develop As in our case, low-grade dysplasia has been observed in up to 53% of the syndromic FGPs, and in up to 2.3% of the sporadic FGPs 2, 4. In other series, including a study of 319 fundic gland polyps, the FAP-associated polyps showed low-grade dysplasia in 25%, and the sporadic ones in 1% of the cases 3, 8 Given the low rate of transformation of low-grade dysplasia, annual endoscopic surveillance with re-biopsy is advocated. A diagnosis of indefinite for dysplasia should also prompt endoscopic surveillance. A diagnosis of high-grade dysplasia is more ominous, since it progress to cancer in most cases Low grade dysplasia means that the cells in your esophagus have some characteristics of cancer but do not have the ability to spread all over your body. In other words, there are precancerous cells in the esophagus but in an early form. Acid from the stomach, trauma from taking medications, or infections, can cause irritation in the.

Is Stomach Dysplasia the Same as Cancer? Bottom Line In

Dysplasia is a term that describes how much your polyp looks like cancer under the microscope: Polyps that are only mildly abnormal (don't look much like cancer) are said to have low-grade (mild or moderate) dysplasia. Polyps that are more abnormal and look more like cancer are said to have high-grade (severe) dysplasia Low Grade Dysplasia - Stomach. Thread starter plynn; Start date Feb 14, 2012; P. plynn Networker. Messages 30 Best answers 0. Feb 14, 2012 #1 having some trouble finding diagnosis code for low grade dysplasis in stomach. can anyone help??? J. jmcpolin True Blue. Messages 841 Location Midvale, UT Best answers 0. Feb 14, 2012 #2 537.89? You must. The risk of transition to dysplasia was highly correlated to a family history of stomach cancer and blood type A. 55 Bile Acid Reflux A high concentration of bile acids, as seen with a diet high in fat or with excess bile acid reflux into the gastric lumen, is thought to predispose patients to gastric cancer via promotion of gastric mucosal injury - stomach (polyp), endoscopic biopsy: polypoid fragments of gastric mucosa with marked glandular hyperplasia with cystic dilatation, severe inflammation, focal smooth muscle hyperplasia in the lamina propria,and a focus of low‐grade dysplasia of the surface epitheliu

(PDF) Diagnosis and management of gastric dysplasi

PATIENTS AND METHODS: As a retrospective study, we reviewed 26 gastric adenomas with low-grade dysplasia (LGD) and one with high-grade dysplasia (HGD) from 18 patients. The patients were followed up for a median of 66 months from 1996 to 2004 (mean 58 months, 20-112 months) in Kyungpook National University Hospital Cells with low-grade dysplasia aren't too different from normal cells. But cells with high-grade dysplasia look really wild, like cancer cells, he says In the case of low-grade dysplasia, another alternative to RFA is to continue to monitor the condition with endoscopies every 12 months, and only to perform the RFA treatments if the Barrett's shows progression to high-grade dysplasia or early cancer. This is because low-grade dysplasia turns to cancer less frequently than high-grade dysplasia Low Grade Dysplasia in Barrett's Esophagus If microscopic examination reveals the presence of a few cells with mildly abnormal features, it is termed low-grade dysplasia (LGD)

Gastric polyps and dysplasia - ScienceDirec

High grade dysplasia (HGD) refers to precancerous changes in the cells of the esophagus. Gastroesophageal reflux disease (GERD) can be complicated by Barrett's esophagus (BE), a change in the normal esophageal cells to intestinal-like cells. BE cells can become abnormal or dysplastic. Low grade and then high grade dysplasia can develop Low-grade dysplasia means that there are some abnormal changes seen in the tissue sample but the changes do not involve most of the cells, and the growth pattern of the cells is still normal. Indefinite (or indeterminate) for dysplasia simply means that the pathologist is not certain whether changes seen in the tissue are caused by dysplasia ___ Involved by low-grade dysplasia. Omental (Radial) Margins ___ Cannot be assessed ___ Uninvolved by invasive carcinoma In the stomach, the lesser omental (hepatoduodenal and hepatogastric ligaments) and greater omental resection margins are the only radial margins. For endoscopic resection specimens, margins include peripheral mucosal. Gastric epithelial dysplasia. A, The histologic features of low-grade dysplasia include nuclear enlargement and elongation, nuclear crowding, and pseudostratification.Overall, the architecture of the surface epithelium is only moderately distorted. B, In high-grade dysplasia, in addition to the atypical cytologic features characterized by the complete loss of nuclear polarity and marked. 1. Low-grade dysplasia characterized by hyperchromatic, elongated, pseudostratified nuclei and nuclear crowding (Figs. 2.13.7 and 2.13.8) 2. High-grade dysplasia shows loss of nuclear polarity, glandular crowding, and cribriform glands (Fig. 2.13.9) 3. Epithelial changes and mitoses involve the base of crypts, extending to the surface mucosa.

Epithelial dysplasia of the stomach with gastric

Circumscribed benign epithelial neoplasm of the stomach; Note: Flat circumscribed dysplasia is best considered as a flat adenoma, which appears (at least largely) to be of intestinal type, and is included here. Diagnostic Criteria. Three distinct types of gastric adenomas have been described and a fourth (oxyntic) proposed Notes Low-grade dysplasia. Low-grade dysplasia is considered the early stage of precancerous changes. If low-grade dysplasia is found, it should be verified by an experienced pathologist. For low-grade dysplasia, your doctor may recommend another endoscopy in six months, with additional follow-up every six to 12 months

In the dilated ducts, a focus of papillary hyperplasia of tall columnar epithelial cells with mild atypia, compatible with IPMN with low‐grade dysplasia, was observed. These findings are consistent with IPMN with low‐grade dysplasia occurring in the heterotopic pancreas of the stomach. No recurrence was seen at the 24‐month follow‐up visit Low-grade dysplasia means that the cells show small signs of change, while high-grade dysplasia represents a more advanced condition which may progress to esophageal cancer. Although the risk of esophageal cancer is small, monitoring of Barrett's esophagus focuses on periodic exams to find precancerous esophagus cells Dinis-Ribeiro M et al. Management of precancerous conditions and lesions in the stomach (MAPS) Endoscopy 2012; 44: 74-94 Atrophic gastritis, intestinal metaplasia, and epi-thelial dysplasia of the stomach are common and are associated with an increased risk for gastric cancer. In the absence of guidelines, there is wid

Stomach - Libre Patholog

CAP Approved Gastrointestinal • Stomach 4.1.0.0 + Data elements preceded by this symbol are not required. However, these elements may be clinically important but are not yet validated or regularly used in patient management D. Jeffress Date: February 15, 2021 Regular gynecological checkups are needed to protect against high grade dysplasia.. Dysplasia is a medical term that refers to the development of abnormal cells or cellular tissue in a specific area of the human body.While the condition itself is not considered a type of cancer, it does greatly increase the chances of cancerous cells emerging and spreading Barrett's esophagus is a condition in which there is an abnormal (metaplastic) change in the mucosal cells lining the lower portion of the esophagus, from normal stratified squamous epithelium to simple columnar epithelium with interspersed goblet cells that are normally present only in the small intestine, and large intestine.This change is considered to be a premalignant condition because it. These changes happen in a sequence, and the damage to the cells progresses to low-grade dysplasia (abnormal cells), which then transform to high-grade dysplasia (precancerous cells), and finally to invasive adenocarcinoma, which can develop in approximately 0.5 percent per year in patients with Barrett's esophagus

Familial Adenomatous Polyposis (FAP) and Stomach

Low-grade dysplasia: Small changes in cells are present; High-grade dysplasia: Significant changes in cells are present. High-grade dysplasia is often the precursor to esophageal cancer. Barrett's Esophagus Treatment. Treating Barrett's esophagus depends on your overall health and extent of dysplasia in your esophagus Low-grade dysplasia of the esophageal squamous epithelium is exactly localized in this area . Low-grade dysplasia limited to the deeper part of the epithelium can also be observed in columnar mucosa in the stomach and duodenum and even in BE dysplastic lesions, limited to the pits can be found dysplasia • Low grade dysplasia: surveillance EGD every 3 months for at least 1 year with topographic mapping biopsy strategy • High grade dysplasia: consider • Crohns disease of the stomach is uncommon • Almost always associated with intestinal disease • Nausea, vomiting, epigastric pain, anorexi

Stomach Dysplasia - HealingWell

No or low-grade dysplasia If you have no or low-grade dysplasia, your doctor will likely recommend treatments that will help you manage your GERD symptoms. Medications to treat GERD include H2. Dysplasia may be intestinal (adenomatous), foveolar, serrated (rarely), or mixed . In intestinal-type, low-grade dysplasia, the epithelium is composed of cells with hyperchromatic and elongated nuclei, clumped chromatin, and pseudostratification. Multiple nucleoli can occur High Grade Dysplasia High-grade dysplasia (Cartoon 7, Figure 5) is thought to be the stage that occurs before esophageal cancer. However high-grade dysplasia can regress to low-grade dysplasia. If diagnosed with high-grade dysplasia the biopsies should be examined again by a pathologist who specializes in diseases of the esophagus Barrett's esophagus without dysplasia; Barrett's esophagus with dysplasia Low-grade; High-grade Dysplasia is the word used to describe cells that are likely to turn into cancer cells. They are also called precancerous cells. Low-grade simply means that there are small signs of changes that cancer is coming

How Commonly Is the Diagnosis of Gastric Low Grade

  1. In patients with dysplasia but no endoscopically defined lesion, conduct immediate high-quality endoscopic reassessment with CE (virtual or dye-based). If no lesion is detected, conduct biopsy for staging of gastritis (if not previously done) and perform endoscopic surveillance within 6 months for high-grade dysplasia or 12 months for low-grade.
  2. Outcome of Low-Grade Dysplasia. Only a few studies have specifically analyzed the natural history of LGD. Most data is derived from 10 prospective studies of surveillance colonoscopy in patients with UC (4). None were randomized or controlled, so the data are observational. What is really needed is a prospective randomized study of colonoscopic.
  3. Grading of gastric epithelial dysplasia. low-grade of gastric mucosal dysplasia (type 1) high-grade of gastric mucosal dysplasia (type 2) According to the severity of histological abnormality gastric dysplasia has been graded using either a two tier system of low and high grade dysplasia or three tier system of mild, moderate or severe dysplasia
  4. ation reveals the presence of a few cells with mildly abnormal features, it is termed low-grade dysplasia (LGD). This condition is considered as the earliest precancerous stage of the esophageal epithelium
  5. In relation to colorectal cancer, dysplasia is the abnormal growth and development of cells in the colon. Generally, colon cancer develops from polyps in the colon. Because polyps start to develop as a person gets older, colon cancer screening guidelines suggest that everyone 50 years old and above should be screened regularly
  6. Uncertainty regarding risk of low grade dysplasia progression. The management of patients diagnosed with Barrett's oesophagus with low grade dysplasia (LGD) is currently uncertain, as there is considerable debate about the risks of progression to high grade dysplasia (HGD) or cancer in this group
  7. Patients with low-grade dysplasia do not develop invasive cancer without progressing to high-grade dysplasia first. Treatment of Barrett's Esophagus Without Dysplasia. There have been many attempts to treat the reflux associated with Barrett's esophagus in hope of preventing dysplasia, which leads to adenocarcinoma

No dysplasia - a diagnosis of Barrett's esophagus is confirmed, but no precancerous changes are found in the cells; Low-grade dysplasia - the cells show small signs of precancerous changes; High-grade dysplasia - the cells show many precancerous changes. This is thought to be the final step before cells change into esophageal cance If dysplasia is not present or is low-grade, treatment options are as follows: Periodic endoscopy to monitor cells in the esophagus: If biopsies do not reveal dysplasia, follow-up scopes will be. Treatment of Barrett's esophagus depends on the condition's severity, the grade of dysplasia and the patient's overall health. The first line of treatment is often surveillance and medication. If the biopsy shows no or even low-grade dysplasia, we may simply monitor the patient for changes Intestinal dysplasia of the stomach is associated with an 11-fold increased risk for gastric cancer, according to a retrospective analysis; the time to cancer progression was surprisingly short

Intestinal Metaplasia Surveillance Colorectal Surgeons

  1. superficial biopsies obtained at endoscopy. Invasive adenocarcinoma may be found during esophagectomy even when only high-grade dysplasia has been found on previous endoscopic biopsies. Figure 5 illustrates the microscopic appearance of goblet cells, low-grade, and high-grade dysplasia found in Barrett's esophagus. Figure 5
  2. (B) Closer view showing unlocked serrated configurations with low-grade dysplasia (H&E, ×10). (C) Basal aspect of the TSA with high-grade dysplasia (H&E ×20). (D) Detail from another area of the TSA of the oesophagus showing a tripolar mitosis (periodic acid Schiff stain, ×40)
  3. If low grade dysplasia is found then a repeat endoscopy in 6 months is ordered to reassess and consider if referral to a specialist centre for treatment is needed. Patients found to have high grade dysplasia are typically referred more quickly to a specialist centre, as the risk of progression to cancer is higher

Stomach adenoma - Libre Patholog

A clue that esophageal tissue is becoming precancerous is the presence of dysplasia_,_ a kind of cellular disarray, Dr. Ginsberg says. If dysplasia is found, it's categorized as low-grade, high-grade or cancer. How serious the dysplasia is will help determine the type of treatment you need Gastric Intestinal Metaplasia With Low Grade Dysplasia Severe Nausea Hangover Gastric Intestinal Metaplasia With Low Grade Dysplasia Severe Nausea Hangover there relievers can help to reduce inflammation and pain from mouth ulcers. The nurse manager discusses the issue as follows: 250 mg/X=500 mg/1 ml 500x=250 X=half of ml 24 - Intestinal metaplasia, negative for dysplasia - Linear and/or micronodular neuroendocrine cell hyperplasia COMMENT: Histologic sections of the stomach body biopsies show antral/pyloric-type mucosa with an absence of oxyntic glands. There is an associated basal lymphoplasmacytic infiltrate and extensive intestinal metaplasia

Gastric epithelial dysplasia Gu

Dysplasia Heartburn Cancer U

Dysplasia can be progressive from low grade dysplasia, to high grade dysplasia and then finally to cancer (though many patients with low grade dysplasia will progress further). Fortunately, this progression happens only in about 1-5% of patients with Barrett's esophagus You et al. conducted a prospective study on 546 patients with dysplasia during the 5-year follow-up and found that gastric cancer progression was 0.6% per year for low-grade dysplasia and 1.4% for high-grade dysplasia. 6. De Vries et al. included 7,616 patients with low-grade dysplasia and 562 with high-grade dysplasia during a 5-year follow-up Valid for Submission. K31.9 is a billable diagnosis code used to specify a medical diagnosis of disease of stomach and duodenum, unspecified. The code K31.9 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions In low-grade dysplasia, the cells are abnormal but are at low risk of becoming cancerous and spreading. In high-grade dysplasia, the cells are likely to become cancerous and spread. To diagnose Barrett's esophagus, an NYU Langone gastroenterologist takes a detailed medical history and conducts a physical exam Radiofrequency ablation may modestly reduce the prevalence of low-grade dysplasia and the risk of progression at 3 years in patients with Barrett oesophagus

(AeD) The tubular adenoma of the sigmoid colon showing lowWebpathology

I am a 45 yr old female with a history of gastro problems, 1996 severe stomach pains, bleeding opening bowels, scope and several ' Adenomatous polyps with moderate epithelial dysplasia' were removed, followed by heamorroidectomy(sp), Same year Hysterectomy (Adenomyosis) Several episodes of severe stomach pain,(resulting in hospital stays,) mainly left sided,. 2004 Endo scope ' Hiatus hernia. This is to watch for signs of dysplasia or cancer development. They may recommend endoscopies more frequently if you have high-grade dysplasia rather than low-grade or no dysplasia. Endoscopic Ablation. Endoscopic ablation uses different techniques to destroy the dysplasia in your esophagus Barrett's oesophagus is the premalignant precursor of oesophageal adenocarcinoma. Non-dysplastic metaplasia can progress to low-grade dysplasia, high-grade dysplasia, and finally to invasive cancer. Although the frequency of adenocarcinoma in patients with Barrett's oesophagus is low, surveillance is justified because the outcome of adenocarcinoma is poor Low-grade dysplasia in stomach High grade glandular dysplasia Treatment for high grade dysplasia Is high grade dysplasia cancer High grade epithelial dysplasia Download Here Free HealthCareMagic App to Ask a Doctor. All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a. Treatment for dysplasia The treatment for Barrett's esophagus will be different if you have dysplasia. Levels of dysplasia range from low-grade to high-grade. The level of dysplasia shows the cancer risk and helps your doctor decide the type of treatment that you need. Low-grade dysplasia: If you have low-grade dysplasia, your cells show fe K22.710 is a valid billable ICD-10 diagnosis code for Barrett's esophagus with low grade dysplasia.It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021. ↓ See below for any exclusions, inclusions or special notation

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