Abstract
Not all liver specimens sent for pathologic examination will show histologic abnormalities. There are several situations that can lead to this. First, the patient may have no disease affecting the liver. This can occur when a patient has “mildly elevated” aspartate transaminase (AST) and alanine transaminase (ALT) levels that are in fact physiologically normal for that patient or are due to an extrahepatic process or when the liver is sampled “just in case” (such as during an exploratory laparotomy). Another scenario is when a patient has a disease affecting the liver in a patchy or haphazard fashion, bringing the possibility of sampling error into play. Finally, a patient may have liver disease that is very early in its course, well controlled on medication, or resolving. (Special situations also exist, such as examining a biopsy from a potential donor liver; see Chap. 14.)
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Skelly MM, James PD, Ryder SD. Findings on liver biopsy to investigate abnormal liver function tests in the absence of diagnostic serology. Journal of Hepatology. 35:195–9, 2001.
Crawford AR, Lin XZ, Crawford JM. The normal adult human liver biopsy: a quantitative reference standard. Hepatology. 28:323–31, 1998.
Rautou PE, Cazals-Hatem D, Moreau R, Francoz C, Feldmann G, Lebrec D, Ogier-Denis E, Bedossa P, Valla D, Durand F. Acute liver cell damage in patients with anorexia nervosa: a possible role of starvation-induced hepatocyte autophagy. Gastroenterology. 135:840–8, 2008.
Reshamwala PA, Kleiner DE, Heller T. Nodular regenerative hyperplasia: not all nodules are created equal. Hepatology. 44:7–14, 2006.
Rubio-Tapia A, Murray JA. The liver in celiac disease. Hepatology. 46:1650–8, 2007.
Kojima H, Uemura M, Sakurai S, Ann T, Ishii Y, Imazu H, Yoshikawa M, Ichijima K, Fukui H. Clinical features of liver disturbance in rheumatoid diseases: clinicopathological study with special reference to the cause of liver disturbance. Journal of Gastroenterology. 37:617–25, 2002.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Gonzalez, R.S., Washington, K. (2016). Normal or Nearly Normal Liver. In: Non-Neoplastic Liver Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-31424-2_2
Download citation
DOI: https://doi.org/10.1007/978-3-319-31424-2_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-31422-8
Online ISBN: 978-3-319-31424-2
eBook Packages: MedicineMedicine (R0)