RUBAN MEMORIAL HOSPITAL                                                                   +91 6299042352
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           19, Boring Patliputra Rd, near New Patliputra Colony, Golambar, Patna, Bihar 800013
Manish Sharma
                                                  Sample Collected At:
Age : 55
                                                  New Patliputra Colony, Patna -
Sex : Male                                        800013
PID : 556
                                                  Ref By. Dr. Awanish Kumar
Diagnosis:
Stage 2
                                     HISTOPATHOLOGY LIVER
Liver Cancer
                                     BIOPSY
CLINICAL           ABNORMAL LIVER FUNCTION TEST'S
DATA:              LIVER BIOPSY
SPECIMEN           LIVER, BIOPSY:
                   1. CONSISTENT WITH PRIMARY BILIARY CIRRHOSIS,
                   STAGE 1.
The patient has a clinical history of primary biliary cirrhosis. Reportedly, the patient had a positive antimitochondrial
antibody. The patient's previous liver biopsy (DPS-10-4275) showed changes which favored primary biliary cirrhosis. At
that time, it was a stage 1 lesion. The patient currently has stage 2 Liver cirrhosis (184). The biopsy shows three cores
of liver tissue with approximately nineteen portal areas present for evaluation. Many of the portal areas show a mild
chronic inflammatory infiltrate, consisting predominantly of lymphocytes. A few of the portal areas show a marked
chronic inflammatory cell infiltrate. In these portal areas, florid duct lesions are present, characterized by the prominent
inflammation, lymphocytic cholangitis, and bile duct epithelial damage/disruption of bile duct basement membrane.
Focally, there is bile duct loss. There is focal interface hepatitis, but this is not a prominent histologic finding. There is
a ductular reaction. No granulomas are seen. The lobules show macrovesicular steatosis (approximately 2 5%). There
is no significant lobular inflammation present. The trichrome stain highlights portal fibrous expansion. The iron stain is
negative for hemosiderin deposition. Overall, the histologic findings in this biopsy are consistent with the history of
primary biliary cirrhosis, stage 1. Staging and grading are done by using the Batts-Ludwig parameters (modified
Knodell). The patient is hereby diagnosed with Stage 2 liver cirrhosis
Thanks for Reference                                     ****End of Report****
Medical Lab                                         Dr. Payal                                    Dr. Vimal Shah
Technician                                          Shah                                         (MD, Pathologist)
(DMLT, BMLT)                                        (MD,
                                                    Pathologist)
                                                                                Generated on : 10 Oct, 2024             Page 1