Gastrointestinal Pathology for Medical II Students

Lab 3a Normal Liver (56000-01000)

Slide 1
The hepatic architecture may be anatomically defined (the classic hepatic lobule) or functionally defined (Rappaport's acinus). The classic hepatic lobule consists of a central vein (C) with its surrounding hepatocytes and 4-6 portal tracts (P). The hepatic plates are typically one cell thick and radiate away from the central vein like spokes of a wheel.

normal liver

Slide 2 
Each portal tract should contain a bile duct (BD) lined by a single layer of cuboidal or columnar cells, a branch of the hepatic artery (A) and a branch of the portal vein (V), all of which are invested by fibrous stroma. Scattered chronic inflammatory cells are normally found within the portal tracts and unless significantly increased they are of no importance.

fibrous stroma
Slide 3
The hepatocytes are typically arranged in single cell plates. They are large polygonal cells with granular, eosinophilic cytoplasm and round, vesicular nuclei that are often nucleolated. The smallest biliary radicles, the canaliculi, are formed by the apposing plasma membranes of two adjacent hepatocytes. The sinusoids are lined by endothelial cells and Kupffer cells. Kupffer cells are derived from the monocyte- macrophage system and are actively phagocytic. They are larger than the endothelial cells and often have a bean-shaped nucleus. If you have a good eye, you should be able to identify them in your slide of normal liver. They become much more prominent when they contain phagocytosed material and you will be able to see them very well in your example of hemochromatosis.
Kupffer cells

Digital Legends for Labs/Cases
Lab 1
1.a | 1.b | 1.c | 1.d | 1.e | 1.f | 1.g | 1.h | 1.i | 1.j | 1.k | 1.l | 1.m
Lab 2
2.a | 2.b | 2.c | 2.d | 2.e | 2.f | 2.g | 2.h | 2.i | 2.j | 2.k | 2.l | 2.m
Lab 3
3.a | 3.b | 3.c | 3.d | 3.e | 3.f | 3.g | 3.h | 3.i | 3.j | 3.k | 3.l

Medical II


Updated March 2, 2007