Liver Biopsy Diagnosis of Cirrhosis

Chapter

Abstract

Fibrosis in liver disease is the result of an abnormal increase in collagen fibers and other components of the extracellular matrix in response to chronic injury. Progression of chronic liver disease is due to the combined effects of ongoing injury, liver cell death, scarring and regeneration which produce the tissue changes that are termed cirrhosis. Chronic liver diseases progress to cirrhosis through a sequence of morphologic changes that reflect increasing fibrosis and architectural distortion.

Staging systems of varying complexity based on these morphologic changes have been used in patient management as a guide to prognosis and in clinical investigations as an estimate of natural history and response to therapy. Needle biopsy can be used for staging of chronic liver diseases, subject to the limitations of sampling error. Large biopsies produce erroneous results less often than small biopsies.

Keywords

Fibrosis Cirrhosis Liver biopsy Staging Morphometry 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Liver Pathology Research and Consultation, Center for Liver DiseasesInova Fairfax HospitalFalls ChurchUSA

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