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Liver Pathology, An Issue of Surgical Pathology Clinics, E-Book

Liver Pathology, An Issue of Surgical Pathology Clinics, E-Book

John Hart

(2018)

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Book Details

Abstract

This issue of Surgical Pathology Clinics, edited by Dr. John Hart, focuses on Liver Pathology. Topics include--but are not limited to--Hereditary cholestatic disorders; Autoimmunity in the liver; Fibrolamellar carcinoma; Hepatocellular adenoma; Infections/granulomas in the liver; HCV and direct acting antivirals; Lymphomas in the liver; Viral heaptitis; NASH; Drug induced liver injury; PBC and AIH; Liver transplant; Frozen sections of the liver; Hepatocellular carcinoma; and Cholangiocarcinoma.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Liver Pathology i
Copyright ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Hepatic Pathology: Evolving Concepts in Diagnosis and Pathogenesis for Medical Diseases and Tumors v
Granulomas in the Liver, with a Focus on Infectious Causes v
Acute Viral Hepatitis: Beyond A, B, and C v
Nonalcoholic Steatohepatitis: Histopathology Basics Within a Broader Context v
Chronic Hepatitis C and Direct Acting Antivirals v
Recent Advances in the Histopathology of Drug-Induced Liver Injury vi
Pathologic Features of Hereditary Cholestatic Diseases vi
Primary Biliary Cholangitis and Autoimmune Hepatitis vi
Hepatic Adenomas: Classification, Controversies, and Consensus vi
Update on Ancillary Testing in the Evaluation of High-Grade Liver Tumors vii
Fibrolamellar Carcinoma: What Is New and Why It Matters vii
Hepatic Lymphoma Diagnosis vii
Cholangiocarcinoma vii
Acute, Chronic, and Humoral Rejection: Pathologic Features Under Current Immunosuppressive Regimes vii
Frozen Sections of the Liver viii
SURGICAL PATHOLOGY CLINICS ix
FORTHCOMING ISSUES ix
September 2018 ix
December 2018 ix
March 2019 ix
RECENT ISSUES ix
March 2018 ix
December 2017 ix
September 2017 ix
Preface: Hepatic Pathology: Evolving Concepts in Diagnosis and Pathogenesis for Medical Diseases and Tumors\r xi
Granulomas in the Liver, with a Focus on Infectious Causes 231
ABSTRACT 231
GENERAL CONSIDERATIONS 231
INFECTIOUS CAUSES OF HEPATIC GRANULOMAS 236
BACTERIAL INFECTIONS 236
FUNGAL INFECTIONS 240
PARASITIC INFECTIONS 241
VIRAL INFECTIONS 242
NONINFECTIOUS CAUSES OF HEPATIC GRANULOMAS 242
REFERENCES 249
Acute Viral Hepatitis: Beyond A, B, and C 251
ABSTRACT 251
OVERVIEW 251
HISTOLOGIC FINDINGS IN ACUTE VIRAL HEPATITIS 252
Histologic Clues to the Causative Virus in Acute Hepatitis 255
Hepatitis A 255
Hepatitis E 256
Hepatitis B 256
Hepatitis C 257
OTHER VIRUSES CAUSING ACUTE HEPATITIS 257
Hepatitis D (Delta) Virus 257
Influenza: H1N1 258
Herpesviruses 258
Epstein-Barr virus 258
Cytomegalovirus 259
Human herpesvirus-6 260
Herpes zoster 260
Herpes simplex virus types 1 and 2 260
Adenovirus 260
Icteric Hemorrhagic Fevers 260
Yellow fever 260
Dengue virus 261
Other arboviruses: zika and chikungunya virus 263
Ebola and Marburg viruses 263
Hantavirus 263
SUMMARY 263
REFERENCES 264
Nonalcoholic Steatohepatitis 267
ABSTRACT 267
OVERVIEW 267
EPIDEMIOLOGY 268
PATHOGENESIS 268
MICROSCOPIC FEATURES 268
STEATOSIS 268
LOBULAR INFLAMMATION 270
BALLOONING AND MALLORY-DENK BODIES 270
FIBROSIS 272
OTHER IMPORTANT HISTOPATHOLOGIC LESIONS SEEN IN NONALCOHOLIC FATTY LIVER DISEASE 275
PEDIATRIC NONALCOHOLIC FATTY LIVER DISEASE 275
TWO HISTOPATHOLOGIC SCORING SYSTEMS FOR NONALCOHOLIC FATTY LIVER DISEASE: THE NAFLD ACTIVITY SCORE AND THE STEATOSIS, ACTIV ... 275
DIFFERENTIAL DIAGNOSIS 277
ALCOHOL-ASSOCIATED LIVER DISEASE AND ALCOHOLIC STEATOHEPATITIS 280
WILSON DISEASE 281
DRUG-ASSOCIATED STEATOHEPATITIS AND CHEMOTHERAPY-ASSOCIATED STEATOHEPATITIS 281
NONALCOHOLIC FATTY LIVER DISEASE WITH CONCURRENT DISEASE 281
PROGNOSIS AND TREATMENT 281
SUMMARY 282
REFERENCES 283
Chronic Hepatitis C and Direct Acting Antivirals 287
ABSTRACT 287
HEPATITIS C VIRUS OVERVIEW 287
RISK FACTORS FOR HEPATITIS C VIRUS 288
DIRECTLY ACTING ANTIVIRAL THERAPY 289
HISTOLOGIC EXAMINATION FOR HEPATITIS C VIRUS 291
HISTOLOGIC FINDINGS IN ACUTE HEPATITIS C VIRUS HEPATITIS 292
HISTOLOGIC FINDINGS IN CHRONIC HEPATITIS C VIRUS HEPATITIS 292
SUMMARY 295
REFERENCES 295
Recent Advances in the Histopathology of Drug-Induced Liver Injury 297
ABSTRACT 297
OVERVIEW 297
EVALUATION OF THE LIVER BIOPSY 298
RECENT REPORTS OF HISTOLOGIC INJURY PATTERNS IN DRUG-INDUCED LIVER INJURY 299
HERBALS AND DIETARY SUPPLEMENTS 302
IMMUNOMODULATING AGENTS AND DRUG-INDUCED AUTOIMMUNE HEPATITIS 304
TEMOZOLOMIDE AND VANISHING BILE DUCT SYNDROME 307
THE PATHOLOGIST’S ROLE IN THE EVALUATION OF SUSPECTED DRUG-INDUCED LIVER INJURY 307
REFERENCES 309
Pathologic Features of Hereditary Cholestatic Diseases 313
ABSTRACT 313
OVERVIEW 313
CYSTIC FIBROSIS 314
PATHOLOGY 314
ALPHA-1-ANTITRYPSIN DEFICIENCY 315
PATHOLOGY 316
DISORDERS OF BILE CANALICULAR TRANSPORTERS (FAMILIAL INTRAHEPATIC CHOLESTASIS AND RELATED DISORDERS) 316
PATHOGENESIS 316
CLINICAL MANIFESTATIONS 318
Progressive Familial Intrahepatic Cholestasis 318
Manifestations of Milder Disease 319
PATHOLOGY: SEVERE DISEASE IN INFANTS AND CHILDREN 319
ATP8B1 Deficiency 319
ABCB11 Deficiency 319
ABCB4 Deficiency 319
PATHOLOGY: MILDER DISEASE IN ADULTS 319
BILE ACID SYNTHETIC DISORDERS 323
ALAGILLE SYNDROME 323
PATHOGENESIS 323
PATHOLOGY 323
ACKNOWLEDGMENTS 325
REFERENCES 325
Primary Biliary Cholangitis and Autoimmune Hepatitis 329
ABSTRACT 329
OVERVIEW 329
PRIMARY BILIARY CHOLANGITIS 330
OVERVIEW OF PRIMARY BILIARY CHOLANGITIS 330
CLINICAL FEATURES OF PRIMARY BILIARY CHOLANGITIS 330
MICROSCOPIC FEATURES OF PRIMARY BILIARY CHOLANGITIS 330
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS OF PRIMARY BILIARY CHOLANGITIS 332
Autoimmune Cholangitis 333
Autoimmune Hepatitis 333
Primary Sclerosing Cholangitis 333
Large Duct Obstruction 333
Ascending Cholangitis 333
Drug-Induced Liver Injury 334
Various Causes of Granuloma Formation 335
Various Causes of Cholestasis 336
Various Causes of Duct Loss/Ductopenia 336
TREATMENT AND PROGNOSIS OF PRIMARY BILIARY CHOLANGITIS 337
AUTOIMMUNE HEPATITIS 339
OVERVIEW OF AUTOIMMUNE HEPATITIS 339
CLINICAL FEATURES OF AUTOIMMUNE HEPATITIS 339
MICROSCOPIC FEATURES OF AUTOIMMUNE HEPATITIS 340
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS OF AUTOIMMUNE HEPATITIS 342
Primary Biliary Cholangitis 343
Chronic Viral Hepatitis 343
Wilson Disease 343
IgG4-Related Sclerosing Cholangitis 343
Drug-Induced Liver Injury 344
Autoimmune Hepatitis–Like Disease in the Transplanted Liver 345
PROGNOSIS OF AUTOIMMUNE HEPATITIS 346
REFERENCES 347
Hepatic Adenomas 351
ABSTRACT 351
OVERVIEW 351
DEFINITION 351
HEPATIC ADENOMA-LIKE NODULES IN CIRRHOTIC LIVERS 352
CLINICAL FINDINGS 352
CLINICAL MANAGEMENT 352
DIAGNOSTIC APPROACH 352
GENERAL OVERVIEW OF HEPATIC ADENOMA SUBTYPES 354
SUBTYPE DETERMINATION 355
HNF1-ALPHA–INACTIVATED ADENOMA 355
INFLAMMATORY ADENOMA 356
BETA-CATENIN–ACTIVATED ADENOMA 357
UNCLASSIFIED ADENOMAS 359
NEWLY REPORTED SUBTYPES 359
OTHER SUBTYPES 360
AN EXPANDED ADENOMA CLASSIFICATION SCHEMA 361
MALIGNANT TRANSFORMATION 362
REFERENCES 364
Update on Ancillary Testing in the Evaluation of High-Grade Liver Tumors 367
ABSTRACT 367
OVERVIEW 367
STAINS TO DETERMINE LIVER ORIGIN 368
THE UREA CYCLE STAINS: ARGINASE-1 AND HEPATOCYTE IN PARAFFIN 1 368
STAINS WITH A CANALICULAR PATTERN: BILE SALT EXPORT PUMP, CLUSTER OF DIFFERENTIATION 10, AND POLYCLONAL CARCINOEMBRYONIC AN ... 369
GLYPICAN-3 369
IN SITU HYBRIDIZATION FOR ALBUMIN 369
SPECIFIC SITUATIONS 370
SCIRRHOUS HEPATOCELLULAR CARCINOMA 370
FIBROLAMELLAR CARCINOMA 371
CHOLANGIOCARCINOMA VERSUS HEPATOCELLULAR CARCINOMA 371
ALBUMIN IN SITU HYBRIDIZATION IN CHOLANGIOCARCINOMA 372
SUMMARY 373
REFERENCES 373
Fibrolamellar Carcinoma 377
ABSTRACT 377
OVERVIEW 377
GROSS FEATURES 379
MICROSCOPIC FEATURES 379
DIFFERENTIAL DIAGNOSIS 381
DIAGNOSIS 381
MOLECULAR PATHOLOGY OF FIBROLAMELLAR CARCINOMA 383
ARE THERE MIXED FIBROLAMELLAR-HEPATOCELLULAR CARCINOMAS? 384
FIBROLAMELLAR CARCINOMA IS DISTINCT FROM CONVENTIONAL HEPATOCELLULAR CARCINOMA 385
PROGNOSIS 385
REFERENCES 385
Hepatic Lymphoma Diagnosis 389
ABSTRACT 389
OVERVIEW 389
NON-HODGKIN B-CELL LYMPHOMAS 391
DIFFUSE LARGE B-CELL LYMPHOMA 391
BURKITT LYMPHOMA 393
B-LYMPHOBLASTIC LEUKEMIA/LYMPHOMA 393
CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA 393
HAIRY CELL LEUKEMIA 393
FOLLICULAR LYMPHOMA 393
MANTLE CELL LYMPHOMA 393
EXTRANODAL MARGINAL ZONE LYMPHOMA OF MUCOSA-ASSOCIATED LYMPHOID TISSUE 394
MATURE T-CELL NEOPLASMS 395
PERIPHERAL T-CELL LYMPHOMA, NOT OTHERWISE SPECIFIED 395
HEPATOSPLENIC T-CELL LYMPHOMA 395
IMMUNODEFICIENCY-ASSOCIATED LYMPHOPROLIFERATIVE DISORDERS: POST-TRANSPLANT LYMPHOPROLIFERATIVE DISORDERS 395
HODGKIN LYMPHOMAS 397
CLASSIC HODGKIN LYMPHOMA 397
NODULAR LYMPHOCYTE–PREDOMINANT HODGKIN LYMPHOMA 397
LYMPHOMA MIMICS: NODULAR LYMPHOID LESION 398
EPSTEIN-BARR VIRUS-POSITIVE HEPATIC LYMPHOID INFILTRATES 398
REFERENCES 400
Cholangiocarcinoma 403
ABSTRACT 403
OVERVIEW 403
CLASSIFICATION SCHEMES 404
CLASSIFICATION BY ANATOMIC LOCATION 404
CLASSIFICATION BY MACROSCOPIC GROWTH PATTERN 406
CLASSIFICATION BY MICROSCOPIC FEATURES 406
CLASSIFICATION BY CELL OF ORIGIN 408
INTRAHEPATIC CHOLANGIOCARCINOMA 409
HISTOLOGIC SUBTYPES 409
IMMUNOHISTOCHEMICAL AND MOLECULAR CHARACTERISTICS 409
DIFFERENTIAL DIAGNOSIS 411
Combined Hepatocellular Carcinoma and Cholangiocarcinoma 415
Other Histologic Mimics of Intrahepatic Cholangiocarcinoma 415
GROSSING AND STAGING INTRAHEPATIC CHOLANGIOCARCINOMA 416
EXTRAHEPATIC CHOLANGIOCARCINOMA 416
IMMUNOHISTOCHEMICAL AND MOLECULAR CHARACTERISTICS 418
DIFFERENTIAL DIAGNOSIS 419
GROSSING AND STAGING EXTRAHEPATIC CHOLANGIOCARCINOMA 421
PRECURSOR LESIONS 421
PROGNOSIS, TREATMENT, AND POTENTIAL TARGETS 425
REFERENCES 425
Acute, Chronic, and Humoral Rejection 431
ABSTRACT 431
OVERVIEW 431
CURRENT STRATEGIES OF IMMUNOSUPPRESSION FOR LIVER TRANSPLANTATION 432
IMMUNOSUPPRESSIVE AGENTS 432
STRATEGIES AND PROTOCOLS 432
IMMUNE TOLERANCE 433
T-CELL–MEDIATED REJECTION (ACUTE CELLULAR REJECTION) 434
CLINICAL AND LABORATORY ASPECTS 434
TYPICAL HISTOLOGIC FEATURES 434
GRADING T-CELL–MEDIATED REJECTION 434
UNUSUAL FORMS OF T-CELL–MEDIATED REJECTION 435
Late-Onset Acute Rejection 435
Central Perivenulitis 436
Plasma Cell-Rich Rejection 437
Hepatitic Rejection 437
Idiopathic Posttransplant Hepatitis 438
DIFFERENTIAL DIAGNOSIS 438
TREATMENT AND PROGNOSIS 440
CHRONIC REJECTION 442
CLINICAL AND LABORATORY ASPECTS 442
HISTOLOGIC FEATURES 442
STAGING CHRONIC REJECTION 444
DIFFERENTIAL DIAGNOSIS 445
TREATMENT AND PROGNOSIS 446
ANTIBODY-MEDIATED REJECTION (HUMORAL REJECTION) 446
CLINICAL AND LABORATORY ASPECTS 446
HISTOLOGIC FEATURES 448
C4D IMMUNOHISTOCHEMISTRY 448
DIFFERENTIAL DIAGNOSIS 450
TREATMENT AND PROGNOSIS 450
REFERENCES 450
Frozen Sections of the Liver 453
ABSTRACT 453
OVERVIEW 453
SURGICAL RESECTION OF ADENOCARCINOMA 453
COLORECTAL CANCER METASTASES 453
INTRAHEPATIC CHOLANGIOCARCINOMA 454
Distinguishing Adenocarcinoma from Primary Hepatic Bile Duct Lesions 454
BILE DUCT HAMARTOMA 456
BILE DUCT ADENOMA (PERIBILIARY GLAND HAMARTOMA) 456
BENIGN DUCTULAR REACTIONS ASSOCIATED WITH BILE DUCT OBSTRUCTION AND CHOLECYSTITIS 456
SURGICAL RESECTION OF PRIMARY HEPATIC TUMORS 459
DISTINGUISHING HEPATOCELLULAR CARCINOMA FROM OTHER HEPATOCELLULAR LESIONS 459
Intrahepatic Cholangiocarcinoma 459
Cavernous Hemangioma 460
Epithelioid Hemangioendothelioma 460
DISTINGUISHING HEPATOCELLULAR CARCINOMA FROM METASTASES 460
Gastrointestinal Endocrine Tumors 461
Renal Cell Carcinoma 462
Adrenal Cortical Carcinoma 462
Malignant Melanoma 462
Gastrointestinal Stromal Tumor 463
Angiomyolipoma 463
DONOR LIVER EVALUATION 463
SUMMARY 465
REFERENCES 465