Liver EQA Circulation LM

Case number 1

Male 46 years

NAFLD BMI >32, DM on insulin AST 74, ALT 112, NASH? Degree of fibrosis.

Case number 2

Male 68 years

Biopsy of liver mass. Large infiltrative liver mass, portal vein thrombosis; ? hepatocellular carcinoma

Case number 3

Male 59 years

Three day history of nausea, vomiting and jaundice following barbeque with undercooked meat. ALT 9750, bilirubin 200.

Case number 4

Male 34 years

Autoimmune hepatitis and cirrhosis. Normal LFTs but persistent raised IgG. Is there ongoing inflammatory activity? Latest autoantibody: SMA 1:160. ANA 1:40. Previous biopsy in 2001 showed probable cirrhosis in keeping with AIH. Moderate interface hepatitis noted at that time.

H&E

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Orcein

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Reticulin

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Haematoxylin van Gieson (HVG)

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Case number 5

Female 30 years

RUQ pain for one year USS Liver Cyst multiseptate ? Hydatid cyst.

H&E

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Case number 6

Female age unknown

Budd Chiari - liver explant. Nodular appearing liver.

H&E

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Case number 7

Male 77 years

Metastatic hormone refractory prostate cancer. New liver lesion. ? HCC on background of cirrhosis. Recent imaging studies show 2 liver lesions 38mm and 10mm, in a background of a cirrhotic appearing liver.