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Gastrointestinal
Pathology for Medical II Students Lab 3h Macronodular
Cirrhosis (56000-48500)
Slide
1
You will recall from
your lecture that cirrhosis is a chronic disease of the liver
characterized by diffuse destruction and regeneration of hepatocytes,
as well as subsequent fibrous scarring that results in
disorganization of the lobular architecture. Put more simply,
cirrhosis is characterized by fibrosis of the liver and regenerative
parenchymal nodules. Cirrhosis may be divided morphologically into
two basic types: micronodular cirrhosis and macronodular cirrhosis.
The micronodular pattern has uniform regenerative nodules of lobular
size or smaller (3 mm in diameter and less) and in the U.S. is
usually caused by alcohol. In macronodular cirrhosis, the
regenerative nodules are large and irregular in size and shape. The
fibrous septa are often broad. Macronodular cirrhosis corresponds
loosely to the older terms "post-necrotic" or "multilobular"
cirrhosis and in the U.S. is most often seen following chronic
active viral hepatitis.
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Slide
2
Is a low power view of the actual
slide in your class set. The hepatic architecture is disturbed by
broad bands of fibrosis that completely circumscribe irregularly
sized and shaped nodules of regenerating hepatic parenchyma. These
nodules range in size from less than 1 mm in diameter to greater
than 5 mm in diameter. |
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Slide
3
Shows at higher power the broad
fibrous septa which completely surround regenerating nodules of
hepatic parenchyma. This patient's cirrhosis resulted from chronic
active hepatitis C and there is ongoing chronic inflammation and
necrosis in this liver. |
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Slide
4
Is taken at the margin of a
regenerative nodule and a fibrous scar (double arrows). Note the
irregular contour of the regenerative nodules and the intense chronic
inflammation at the interface of the fibrous septa and the hepatic
plates. This is an example of ongoing piecemeal necrosis. |
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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
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