PATHOLOGY OF THE LIVER

VII. practical training

3rd year General Medicine

Haemochromatosis

Congestion of the liver

Congestion of the liver

Congestion of the liver (hepar moschatum)

1 Portobilial spaces

2 Ways of congestion (congestion with

necrosis of hepatocytes)

Pseudolobulus from residues of 3 lobuli, in

centre is portobilium

1

1

1

2

2

Congestion of the liver (hepar moschatum), detail

1

3

2

3

1 Portobilium- dilatated branch of v. portae

2 Pseudolobulus from residues of 3 lobuli, in centre is

portobilium

3 Ways of congestion (congestion with necrosis of

hepatocytes)

4 Biliary duct

5 Branch of a. hepatica

4

5

Acute stage of

viral hepatitis

Viral hepatitis

subacute fatal

Chronic viral

hepatis

Liver – chronic viral hepatis

1

2

3 1 Portobiliar space with chronic inflammatory infiltrate

2 „piece-meal necroses“

3 Central part of lobulus with mixed steatosis

Liver – chronic viral hepatis

1

2

1 Chronic inflammatory

infiltrate in portobiliar space

2 Biliary duct

Chronic viral hepatis, active

1

2

2

1 Necrosis of hepatocytes with

accumulation of lymphocytes

2 Steatosis

3 Swelling of hepatocytes

3

Massive necrosis (hepatodystrophy, yellow atrophy)

1

2

3

4

1 Biliary duct

2 Artery

3 Vena

4 Parenchyma

Massive necrosis (hepatodystrophy, yellow atrophy)

1

2

3

1 Hepatocyt with eosinophilic

cytoplasm and partly defunct nucleus

2 Hepatocyt with degradated nucleus

and eosinophilic cytoplasm

3 Lipofuscin

4 Completely defunct hepatocytes

4

Acute hepatodystrophy

Cirrhosis hepatis

Cirrhosis hepatis

Cirrhosis hepatis

Cavernous haemangioma – liver

kopie

Cavernous haemangioma

Cavernous haemangioma

1 Vascular spaces

2 Flat endothelial cells

3 Fibrous septum

1

1

3 2

2

Cavernous haemangioma Angiosarcoma

Mitosis

copy

Primary liver

carcinoma

Hepatocellular carcinoma

Hepatocellular carcinoma

Hepatocellular carcinoma

Cholangiocarcinoma of the liver