Liver: Difference between revisions
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→Microscopic evaluation in autopsy: +Inflammation |
+Microvesicular |
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{{Comprehensiveness}} | |||
==Tissue sampling== | ==Tissue sampling== | ||
*'''[[Autopsy]]''' | *'''[[Autopsy]]''' | ||
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</gallery> | </gallery> | ||
{{Further|Cirrhosis}} | {{Further|Cirrhosis}} | ||
:*'''Steatosis''' is also common | :*'''Steatosis''' is also common, (see section below). | ||
*Signs of '''acute liver failure'''. ''Further information in section below.'' | *Signs of '''acute liver failure'''. ''Further information in section below.'' | ||
*Signs of '''malignancy'''. If a tumor is found: {{Further|Liver tumor|linebreak=no}} | *Signs of '''malignancy'''. If a tumor is found: {{Further|Liver tumor|linebreak=no}} | ||
*Signs of '''congestive hepatopathy''' (indicating heart failure). ''Further information in section below.'' | *Signs of '''congestive hepatopathy''' (indicating heart failure). ''Further information in section below.'' | ||
*Signs of '''inflammation''' at least around the portal triads. | *Signs of '''inflammation''' at least around the portal triads. | ||
===Steatosis=== | |||
At least classify steatosis by severity: | |||
[[File:Steatosis severity at histopathology.jpg|thumb|center|400px|Steatosis grading: a: none. b: mild. c: moderate. d: severe.]] | |||
<gallery mode=packed heights=190> | |||
File:Histopathology of microvesicular steatosis.jpg|Note the presence of '''microvesicular''' steatosis, as it is usually more harmful. It shows foamy hepatocytes (two annotated by arrows), as opposed to the more common macrovesicular steatosis (insert). | |||
</gallery> | |||
===Acute liver failure=== | ===Acute liver failure=== | ||
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===Common normal findings=== | ===Common normal findings=== | ||
<gallery mode=packed> | <gallery mode=packed> | ||
File:Histology of hepatocyte lipofuscin.jpg|Hepatocyte | File:Histology of hepatocyte lipofuscin.jpg|Hepatocyte '''lipofuscin''', is of no real pathologic importance and does not warrant a mention in the report.<ref>{{cite web|url=https://webpath.med.utah.edu/LIVEHTML/LIVER019.html|title=The Internet Pathology Laboratory for Medical Education|website=The University of Utah Eccles Health Sciences Library|accessdate=2020-12-18}}</ref> | ||
</gallery> | </gallery> | ||