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Abstract

Liver response to injury includes a relatively narrow spectrum of morphologic changes, and accordingly there are only several pathologic patterns that can be recognized microscopically. First of all one must determine if the liver biopsy is from a native liver or from a liver transplant. If it is native liver one must decide if the liver was biopsied for a mass lesion requiring a tumor diagnosis or a diffuse liver disease. Relevant patient data provided by the clinician is always welcome and encouraged to provide appropriate contextual review. First, diffue liver disease should be divided into acute and chronic liver disease. Next, the liver is classified according the predominent pattern of injury. Then, after incorporation of clinical information and laboratory data, a differential diagnosis can be rendered.

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References

  • Brunt EM, Tiniakos DG. Fatty liver disease. In: Odze RD, Goldblum JR, editors. Surgical pathology of the GI tract, liver, biliary tract, and pancreas. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015. p. 1329–55.

    Google Scholar 

  • Burt A, Portman B, Ferrell L, editors. MacSween’s pathology of the liver. 6th ed. Edinburgh: Churchill Livingstone, Elsevier; 2012.

    Google Scholar 

  • Desmet VJ, Rosai J. Liver. In: Rosai J, editor. Rosai and Ackerman’s surgical pathology. 10th ed. Elsevier Mosby: Edinburgh; 2011. p. 857–980.

    Chapter  Google Scholar 

  • Geller SA, Petrovic LM. Biopsy interpretation of the liver. 2nd ed. Philadelphia, PA: Wolters Kluwer Health; 2009.

    Google Scholar 

  • Kanel GC, Korula J. Atlas of liver pathology. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2005.

    Google Scholar 

  • Lefkowitch JH. Scheuer’s liver biopsy interpretation. 8th ed. Philadelphia, PA: Saunders, Elsevier; 2010.

    Google Scholar 

  • Ludwig J. Practical liver biopsy interpretation. Diagnostic algorithms. Chicago, IL: American Society of Clinical Pathologists; 1992.

    Google Scholar 

  • Suriawinata AA, Thung SN. Liver pathology. An atlas and concise guide. New York, NY: Demos Medical; 2011.

    Google Scholar 

  • Theise ND, Saxena R. Algorithmic approach to diagnosis of liver diseases. In: Odze RD, Goldblum JR, editors. Surgical pathology of the GI tract, liver, biliary tract, and pancreas. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015. p. 1143–69.

    Google Scholar 

  • Torbenson M. Biopsy interpretation of the liver. Philadelphia, PA: Wolters Kluwer Health; 2015.

    Google Scholar 

  • Yeh MM, Crawford JM. Vascular disorders of the liver. In: Odze RD, Goldblum JR, editors. Surgical pathology of the GI tract, liver, biliary tract, and pancreas. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015. p. 1384–407.

    Google Scholar 

  • Brunt EM, Gouw AS, Hubscher SG, et al. Pathology of the liver sinusoids. Histopathology. 2014;64:907–20.

    Article  PubMed  Google Scholar 

Download references

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O’Neil, M., Damjanov, I., Taylor, R.M. (2015). Patterns of Liver Injury. In: Liver Pathology for Clinicians. Pathology for Clinicians. Springer, Cham. https://doi.org/10.1007/978-3-319-20080-4_5

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  • DOI: https://doi.org/10.1007/978-3-319-20080-4_5

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20079-8

  • Online ISBN: 978-3-319-20080-4

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