Female 58 years

History of adrenocortical carcinoma previously resected. Now multiple lesions in liver, 4 lesions now resected. All show similar appearances.

Specimen: Liver nodule From segment 4

Macroscopic description:
Irregular piece of liver 3x2x2. 5cm bearing nodule 1cm in diameter

Male 19 years

Pruritis for few months then jaundice following course of treatment with tetracycline for acne.ALT 300, Anti SMA positive. ? PSC, AIH? overlap.

Specimen:

Liver biopsy

Macroscopic description:
2 cores larger 20mm in length

Female 44 years

Abnormal LFT ALP802, GGT319, psoriasis, exclude PBC, serology negative.

Specimen:

Liver biopsy

Macroscopic description:
2 cores each 18mm in length

Male 33 years

Abnormal LFT, Hepatitis C, ?Fibrosis. (Later info: Thalassaemia, multiple blood transfusions).

Specimen:

Liver biopsy

Macroscopic description:
2 cores each 20mm in length

Male 50 years

Information on request form- ?NASH information on electronic clinic letter History of coeliac disease and hypertension.Elevated ALT. Clinical suspicion of NASH.

Specimen: Liver core biopsy

Macroscopic description:
Two cores of tan tissue 12 and 15mm long

Female 49 years

Raised ALT and immunoglobulins, ANA +ve (1/640), antimitochondrial antibody +ve, negative M2, ultrasound showed fatty liver, no copper-associated protein.

Specimen:

Liver biopsy

Macroscopic description:
3 cores, measuring 6mm, 8mm and 20mm in length

Male 30 years

Jaundice,?drug induced liver damage. Bilirubin 750.

Specimen: Liver core biopsy

Macroscopic description:
2.5cm core.

Female 73 years

New onset jaundice. Last INR 1.3, ?liver pathology, US normal.

Specimen:

Liver biopsy

Macroscopic description:
1.5cm and 1.2cm cores

Female 56 years

High BMI, diabetes, abnormal liver function tests. Ultrasound showed steatosis. Retic and masson trichrome showed significant fibrosis and occasional small nodules.

Specimen: Liver needle biopsy

Macroscopic description:
4 cores combined length 43mm

Male 50 years

? cirrhosis, ?cause. AST 183 ALP 376 IgG 18.2. Previous IgG 37.26 and previously SMA positive, now negative. Reticulin - collapsed areas, some elastin fibres also present (orcein). Tiny amounts of copper associated protein, nil else on specials.

Specimen:

Liver biopsy

Macroscopic description:
15mm core and fragments

Male 71 years

Abnormal LFT's, hepatosplenomegaly. ?Iatrogenic BCGosis, secondary to bladder cancer treatment.

Specimen:

Liver biopsy

Macroscopic description:
Tan cores 15 x 2mm.

Male 54 years

Alcohol access. Jaundice.

Specimen:

Liver biopsy

Macroscopic description:
Two cores of tissue up to 15mm length