Thinking of the pathological diagnosis of unexplained liver cirrhosis
10.3969/j.issn.1001-5256.2023.03.003
- VernacularTitle:不明原因肝硬化的病理诊断思路
- Author:
Yu ZHANG
1
;
Yongfeng YANG
2
Author Information
1. School of Medicine, Southeast University, Nanjing 210009, China
2. Department of Hepatology, Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine & Nanjing Second Hospital, Nanjing 210003, China
- Publication Type:Discussions by Experts
- Keywords:
Liver Cirrhosis;
Pathology;
Diagnosis
- From:
Journal of Clinical Hepatology
2023;39(3):498-503
- CountryChina
- Language:Chinese
-
Abstract:
Liver cirrhosis is the final stage of various chronic liver diseases, and the common etiologies of liver cirrhosis include chronic viral hepatitis, nonalcoholic fatty liver disease, autoimmune liver diseases, and inherited metabolic liver disease. An accurate etiological diagnosis is an important prerequisite for etiological treatment. Unexplained liver cirrhosis refers to liver cirrhosis without a definite etiology after medical history inquiry, physical examination, and auxiliary examination. At present, liver histopathological examination is a gold standard for the diagnosis of liver cirrhosis and an important basis for exploring the etiology of liver cirrhosis. It may help with the etiological diagnosis of unexplained liver cirrhosis to evaluate the pattern of liver fibrosis, the type of inflammatory injury, and related pathological changes with reference to a comprehensive analysis of related medical history, signs, laboratory examination, and radiological examination. This article reviews the pathological features and diagnostic thinking of unexplained liver cirrhosis.