Document Detail


Histopathologic evaluation of liver biopsy for cirrhosis.
MedLine Citation:
PMID:  22692285     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In current medical practice, the clinical diagnosis of cirrhosis is rendered when a patient has suggestive imaging findings or features of portal hypertension (pHTN). Liver biopsy may be considered to assess potential underlying cause(s). Cirrhosis, however, is not the only etiology of pHTN; in fact, schistosomiasis remains a significant factor worldwide. pHTN results from obstruction of hepatic blood flow; it is classified clinically based on either the anatomic location of obstruction or hepatic venous pressure gradient measurements. The clinical categories carry clinicopathologic significances. Histopathologically, pHTN is manifest with either cirrhotic or noncirrhotic features. Noncirrhotic pHTN results from a heterogeneous group of disease processes, all of which result in vascular remodeling with variable parenchymal nodularity and fibrosis. This review summarizes liver biopsy findings of cirrhosis and possible etiologies and provides a stepwise approach for the histologic differential diagnosis of a liver biopsy done for "cirrhosis."
Authors:
Changqing Ma; Elizabeth M Brunt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in anatomic pathology     Volume:  19     ISSN:  1533-4031     ISO Abbreviation:  Adv Anat Pathol     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-06-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9435676     Medline TA:  Adv Anat Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  220-30     Citation Subset:  IM    
Affiliation:
Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO.
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