Quantitative assessment of fibrosis and steatosis in liver biopsies from patients with chronic hepatitis C.

Abstract:

BACKGROUND:Hepatic fibrosis is one of the main consequences of liver disease. Both fibrosis and steatosis may be seen in some patients with chronic hepatitis C and alcoholic liver disease (ALD). AIMS:To quantitate fibrosis and steatosis by stereological and morphometric techniques in patients with chronic hepatitis C and compare the results with a control group of patients with ALD. In addition, to correlate the quantitative features of fibrosis with the Ishak modified histological score. MATERIALS AND METHODS:Needle liver biopsies from 86 patients with chronic hepatitis C and from 32 patients with alcoholic liver disease (disease controls) were analysed by stereological and morphometric analyses using the Prodit 5.2 system. Haematoxylin and eosin and Picro-Mallory stained sections were used. The area fractions (A(A)) of fibrosis, steatosis, parenchyma, and other structures (bile duct and central vein areas) were assessed by stereological method. The mean diameters of fat globules were determined by morphometric analysis. RESULTS:Significant differences were found in the A(A) of fibrosis, including fibrosis within portal tract areas, between chronic hepatitis C patients and those with ALD (mean (SD): 19.14 (10.59) v 15.97 (12.51)). Portal and periportal (zone 1) fibrosis was significantly higher (p = 0.00004) in patients with chronic hepatitis C compared with the control group (mean (SD): 9.04 (6.37) v 3.59 (3.16)). Pericentral fibrosis (zone 3) occurred in both groups but was significantly more pronounced in patients with ALD. These results correlate well with the modified Ishak scoring system. However, in patients with cirrhosis (stage 6) with chronic hepatitis C the A(A) of fibrosis varied between 20% and 74%. The diameter of fat globules was significantly lower in patients with hepatitis C (p = 0.00002) than the ALD group (mean (SD): 14.44 (3.45) v 18.4 (3.32)). Microglobules were more frequent in patients with chronic hepatitis C than in patients with ALD. In patients with chronic hepatitis C, the fat globules had a zonal distribution in comparison with pan steatosis in ALD. CONCLUSION:Quantitative, stereological techniques are simple and reliable for evaluating hepatic fibrosis and steatosis in chronic hepatitis C. They are most useful for assessing the origin, location, and the stage of fibrosis. Stereology and morphometry are recommended for the quantitation of fibrosis and steatosis, particularly for the evaluation of new treatment strategies in patients with chronic hepatitis C.

journal_name

J Clin Pathol

authors

Zaitoun AM,Al Mardini H,Awad S,Ukabam S,Makadisi S,Record CO

doi

10.1136/jcp.54.6.461

keywords:

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

461-5

issue

6

eissn

0021-9746

issn

1472-4146

journal_volume

54

pub_type

杂志文章,多中心研究
  • Counter-immunoelectro-osmophoresis for the detection of infantile gastroenteritis virus (orbi-group) antigen and antibody.

    abstract::A moderatley sensitive, rapid, and economical test scheme for the detection of infantile gastroenteritis virus (IGV) in stool or antibody in serum has been developed and evaluated. The test scheme with minor modifications was an adaptation of a counter-immunoelectro-osmophoresis system we once used for the detection o...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.29.3.191

    authors: Middleton PJ,Petric M,Hewitt CM,Szymanski MT,Tam JS

    更新日期:1976-03-01 00:00:00

  • Pneumococcal antigen in lobar pneumonia.

    abstract::This paper describes the value in diagnosis and the clinical implications of the detection of pneumococcal antigen in patients with lobar pneumonia. Ninety-eight patients with lobar pneumonia were investigated. Pneumococcal antigen was detected by counter-current immunoelectrophoresis in the sputum of 79% of patients ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.28.2.118

    authors: Tugwell P,Greenwood BM

    更新日期:1975-02-01 00:00:00

  • Pathology of astrovirus associated diarrhoea in a paediatric bone marrow transplant recipient.

    abstract::Human astrovirus infection often causes outbreaks of self limiting diarrhoea, but may also infect patients who are immunodeficient or immunocompromised. Although there are previous publications relating to various aspects of astroviruses, there is a minimal amount of literature on the histopathological features of gas...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.2004.017178

    authors: Sebire NJ,Malone M,Shah N,Anderson G,Gaspar HB,Cubitt WD

    更新日期:2004-09-01 00:00:00

  • Differential expression of ribosomal proteins in myelodysplastic syndromes.

    abstract::Aberrations of ribosomal biogenesis have been implicated in several congenital bone marrow failure syndromes, such as Diamond-Blackfan anaemia, Shwachman-Diamond syndrome and Dyskeratosis Congenita. Recent studies have identified haploinsufficiency of RPS14 in the acquired bone marrow disease isolated 5q minus syndrom...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2015-203093

    authors: Rinker EB,Dueber JC,Qualtieri J,Tedesco J,Erdogan B,Bosompem A,Kim AS

    更新日期:2016-02-01 00:00:00

  • Plasma fibronectin and thyroid function.

    abstract::Plasma fibronectin concentrations up to 85 mg/100 ml were found in hyperthyroid patients. There was a significant correlation between free thyroxine index and plasma fibronectin values. Hypothyroid patients had low to normal fibronectin concentrations. Parallel decreases of thyroid hormones and plasma fibronectin conc...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.38.1.64

    authors: Graninger W,Pirich K,Derfler K,Waldhäusl W

    更新日期:1985-01-01 00:00:00

  • Expression of phosphoinositide-specific phospholipase C isoforms in human umbilical vein endothelial cells.

    abstract:AIMS:The signalling system of phosphoinositides (PIs) is involved in a number of cell and tissue functions including membrane trafficking, ion channel activity, cell cycle, apoptosis, differentiation and cell and tissue polarity. Recently, a role in cell migration was hypothesised for PI and related molecules including...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2011-200096

    authors: Lo Vasco VR,Pacini L,Di Raimo T,D'arcangelo D,Businaro R

    更新日期:2011-10-01 00:00:00

  • Non-specifically labelled cells that simulate bone marrow metastases in patients with non-metastatic breast cancer.

    abstract:AIMS:To determine whether the presence of disseminated bone marrow tumour cells at diagnosis is a prognostic factor for breast cancer patients at high risk of recurrence or bone metastasis, and to assess their presence as a criterion for evaluation of the potential benefits of adjuvant chemotherapy. METHODS:Multiple b...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.50.3.206

    authors: Lagrange M,Ferrero JM,Lagrange JL,Machiavello JC,Monticelli J,Bayle C,Creisson A,Namer M,Thyss A,Bourcier C,Gioanni J,Schneider M

    更新日期:1997-03-01 00:00:00

  • My approach to superficial inflammatory dermatoses.

    abstract::Superficial inflammatory dermatoses are very common and comprise a wide, complex variety of clinical conditions. Accurate histological diagnosis, although it can sometimes be difficult to establish, is essential for clinical management. Knowledge of the microanatomy of the skin is important to recognise the variable h...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章,评审

    doi:10.1136/jcp.2005.027151

    authors: Alsaad KO,Ghazarian D

    更新日期:2005-12-01 00:00:00

  • Borderline or malignant ovarian tumour? A case report of decision making with morphometry.

    abstract::A young woman presented with bilateral ovarian tumours. Multiple sections of each tumour were shown to many pathologists for consultation; some considered the tumours to be borderline, whereas others thought that one or both of them was malignant. Morphometry showed that the numerical classification probabilities for ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.37.10.1110

    authors: Baak JP,Van der Ley G

    更新日期:1984-10-01 00:00:00

  • Second harmonic generation microscopy is a novel technique for differential diagnosis of breast fibroepithelial lesions.

    abstract::Breast fibroepithelial lesions, including fibroadenomas and phyllodes tumours, are commonly encountered in clinical practice. As histological differences between these two related entities may be subtle, resulting in a challenging differential diagnosis, pathological techniques to assist the differential diagnosis of ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2015-203231

    authors: Tan WJ,Yan J,Xu S,Thike AA,Bay BH,Yu H,Tan MH,Tan PH

    更新日期:2015-12-01 00:00:00

  • Non-adenomatous forms of gastro-oesophageal epithelial dysplasia: an under-recognised entity?

    abstract::Foveolar dysplasia is an uncommon form of dysplasia that is encountered in the stomach and oesophagus in the context of Barrett’s oesophagus. Glands displaying foveolar dysplasia also show architectural abnormalities that are similar to those encountered in adenomatous dysplasia. However, from a cytological point of v...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章,评审

    doi:10.1136/jclinpath-2014-202600

    authors: Serra S,Chetty R

    更新日期:2014-10-01 00:00:00

  • Site distribution of oesophagogastric cancer.

    abstract:AIMS:It has been suggested that adenocarcinomas of the lower oesophagus and gastric cardia should be reclassified as oesophagogastric junction (OGJ) cancers. This study aimed to define the frequency of OGJ cancers in a geographically defined population of 4.3 million people. METHODS:All cases of oesophageal and gastri...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.55.3.191

    authors: Byrne JP,Mathers JM,Parry JM,Attwood SE,Bancewicz J,Woodman CB

    更新日期:2002-03-01 00:00:00

  • Radioimmunoassay of serum glycocholic acid, standard laboratory tests of liver function and liver biopsy findings: comparative study of children with liver disease.

    abstract::Serum glycocholic acid (SGC) was measured by radioimmunoassay in 277 samples from 122 children with hepatobiliary disorders and from 23 healthy age-matched controls. In patients with hepatobiliary disease the SGC was more frequently abnormal (83%) than values for serum albumin (7%), prothrombin time (17%), bilirubin (...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.35.9.1011

    authors: Matsui A,Psacharopoulos HT,Mowat AP,Portmann B,Murphy GM

    更新日期:1982-09-01 00:00:00

  • Visual versus mechanised leucocyte differential counts: costing and evaluation of traditional and Hemalog D methods.

    abstract::Visual differential counts were examined for efficiency, cost effectiveness, and staff acceptability within our laboratory. A comparison with the Hemalog D system was attempted. The advantages and disadvantages of each system are enumerated and discussed in the context of a large general hospital. ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.33.11.1114

    authors: Hudson MJ,Green AE

    更新日期:1980-11-01 00:00:00

  • Effect of new plastics and leucocyte contamination on in vitro storage of platelet concentrates.

    abstract::Platelet concentrates were prepared for in vitro storage in either Fenwal PL-732 or Cutter CLX platelet packs. The units were stored at 22 degrees C for seven days with either horizontal or tumbler agitation. Measurement of pH, hypotonic shock response and serotonin uptake indicated in vitro viability was well maintai...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.36.12.1382

    authors: Taylor MA,Tandy NP,Fraser ID

    更新日期:1983-12-01 00:00:00

  • Macroscopic identification of early myocardial infarction by dehydrogenase alterations.

    abstract::A method utilizing a general dehydrogenase reaction has been used to demonstrate early gross myocardial infarctions. The procedure takes advantage of substrate and enzyme loss from the damaged myocardium. In the viable muscle, where endogenous substrates, coenzymes, and dehydrogenases are present, reduction of Nitro-B...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.19.5.479

    authors: Ramkissoon RA

    更新日期:1966-09-01 00:00:00

  • Can the laboratory affect the investigation and diagnosis of primary biliary cirrhosis?

    abstract:BACKGROUND:Primary biliary cirrhosis (PBC) is an autoimmune liver disease characterised by the presence of various laboratory abnormalities but the precise role of laboratory staff in initiating clinical referral and subsequent biopsy is not clear. OBJECTIVE:To examine the impact of laboratory abnormalities in the inv...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.2005.028936

    authors: Sinclair D,Spedding A,Young R

    更新日期:2006-04-01 00:00:00

  • Fluorescence in situ hybridisation analysis of bone marrow trephine biopsy specimens; an additional tool in the diagnostic armoury.

    abstract::Fluorescence in situ hybridisation (FISH) analysis is now widely employed in the diagnosis and risk stratification of a wide range of malignant diseases. While this technique is used successfully with formalin-fixed paraffin-embedded (FFPE) sections from numerous tissue types, FISH analysis of FFPE tissue sections fro...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2012-201131

    authors: Neat MJ,Moonim MT,Dunn RG,Geoghegan H,Foot NJ

    更新日期:2013-01-01 00:00:00

  • Effects of posture on plasma volume and some blood constituents.

    abstract::When the posture was changed from horizontal to vertical, or the reverse, the alteration in plasma volume and in the levels of haematocrit, haemoglobin, and plasma protein was much greater in patients with oedema or low plasma protein or albumin concentrations ("the pathological group") than in patients without these ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.13.4.304

    authors: FAWCETT JK,WYNN V

    更新日期:1960-07-01 00:00:00

  • The use of an anaerobic incubator for the isolation of anaerobes from clinical samples.

    abstract::An anaerobic incubator was compared with a standard jar system for the isolation of anaerobes from clinical material. Seventy specimens were selected as likely to yield anaerobes: 342 different anaerobes were isolated in the incubator and 347 in anaebrobic jars. These included Bacteroides spp (43%), Peptococcus spp (2...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.35.10.1158

    authors: Berry PL,Taylor E,Phillips I

    更新日期:1982-10-01 00:00:00

  • Detection of circulating fetal nucleic acids: a review of methods and applications.

    abstract::The discovery of cell-free circulating fetal nucleic acids in maternal plasma has opened up new possibilities in non-invasive prenatal diagnosis. The rapid advancement of this field in the past decade is catalysed by the discovery of new classes of fetal nucleic acid markers and technological developments in nucleic a...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章,评审

    doi:10.1136/jcp.2007.048470

    authors: Hung EC,Chiu RW,Lo YM

    更新日期:2009-04-01 00:00:00

  • Mitochondrial molecular genetic results in a South African cohort: divergent mitochondrial and nuclear DNA findings.

    abstract:AIMS:Mitochondrial diseases form one of the largest groups of inborn errors of metabolism. The birth prevalence is approximately 1/5000 in well-studied populations, but little has been reported from Sub-Saharan Africa. The aim of this study was to describe the genetics underlying mitochondrial disease in South Africa. ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2020-207026

    authors: Meldau S,Owen EP,Khan K,Riordan GT

    更新日期:2020-10-28 00:00:00

  • Modifications to CHROMagar Acinetobacter for improved selective growth of multi-drug resistant Acinetobacter baumannii.

    abstract::Performance of CHROMagar Acinetobacter was assessed for the selective isolation and identification of Acinetobacter baumannii. The medium was effective in suppressing the growth of other Gram-positive and Gram-negative species while the addition of KPC supplement ensured growth of only carbapenem resistant A baumannii...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.2010.083469

    authors: Wareham DW,Gordon NC

    更新日期:2011-02-01 00:00:00

  • Rapid cytological diagnosis of basal cell carcinoma of the skin.

    abstract::Cytological diagnosis in a series of 153 skin lesions is presented. The diagnosis in each case has been compared with the clinical assessment and, where available, the biopsy result (85 lesions). Of 131 basal cell carcinomas, a cytological diagnosis was possible in 124 while biopsyl failed to identify two of the 73 le...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.32.4.361

    authors: Brown CL,Klaber MR,Robertson MG

    更新日期:1979-04-01 00:00:00

  • Is breast specimen shrinkage really a problem in breast-conserving surgery?

    abstract:BACKGROUND:Breast-conserving surgery currently focuses on improving margin clearance and excision volume, the main pathology report parameters for oncological and cosmetic outcomes. AIM:To quantitatively evaluate discrepancies in surgical and pathological estimates of breast specimen sizes, including the influence of ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章,多中心研究

    doi:10.1136/jclinpath-2011-200392

    authors: Krekel NM,van Slooten HJ,Barbé E,de Lange de Klerk ES,Meijer S,van den Tol MP

    更新日期:2012-03-01 00:00:00

  • Measurement of protein HC (alpha 1 microglobulin) and protein HC-IgA complex in different body fluids.

    abstract::Protein HC and protein HC-IgA complex were measured in 18 different types of fluid sample from healthy subjects and patients with different illnesses to determine if the concentrations of protein HC and protein HC-IgA complexes could be used to monitor certain diseases, when measured separately. The normal values for ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.41.11.1176

    authors: Fernández-Luna JL,Leyva-Cobián F,Méndez E

    更新日期:1988-11-01 00:00:00

  • Immunochemical and ultrastructural study of multiple myeloma with a heavy chain protein in the serum.

    abstract::A patient with multiple myeloma had antigenically related monoclonal Fc-gamma fragments and complete IgG-kappa molecules in the serum. The urine contained only Fc-gamma fragments in the absence of Bence-Jones protein. The two distinct M-components in the serum showed electrophoretic identity but could be separated by ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.33.10.936

    authors: Bartoloni C,Flamini G,Gentiloni N,Russo MA,Barone C,Gambassi G,Terranova T

    更新日期:1980-10-01 00:00:00

  • Uptake and excretion of iron by healthy elderly subjects.

    abstract::Metabolic balance studies for iron have been carried out on 24 apparently healthy elderly people (11 men and 13 women) aged 69.7 to 85.5 years living in their own homes and eating self selected diets. Several biochemical and haematological indices of iron state were also measured. The mean daily iron intake was 176 mu...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.37.12.1353

    authors: Bunker VW,Lawson MS,Clayton BE

    更新日期:1984-12-01 00:00:00

  • A case of longstanding primary sclerosing cholangitis.

    abstract::A 45-year-old man is described in whom there is currently ERCP and histological evidence of primary sclerosing cholangitis (PSC). A liver biopsy obtained 29 years ago shows similar histological features confirming that he had PSC at that time. This case indicates that PSC may follow a relatively benign course. ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.36.11.1298

    authors: Goudie BM,Birnie GG,Watkinson G,MacSween RN

    更新日期:1983-11-01 00:00:00

  • SERUM HAPTOGLOBINS IN HAEMOLYTIC STATES.

    abstract::Serum haptoglobin levels have been studied in patients with a number of haemolytic disorders. In general, serum haptoglobins were low in patients with increased haemolysis. Values were reduced irrespective of whether haemolysis occurred intravascularly or extravascularly. The reduction was related to the amount of hae...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.13.6.478

    authors: Owen JA,de Gruchy GC,Smith H

    更新日期:1960-11-01 00:00:00