Loginov A S, Aruin L I, Shepeleva S D, Shatalova O L, Tkachev V D, Petrova O P
Ter Arkh. 1990;62(12):51-5.
Based on examination of 2450 liver biopsy specimens it has been shown that different granulomas occur in 4% of all the biopsy specimens. Of these, sarcoid-like granulomas are detectable in 13.5% of cases. Diagnosis of liver sarcoidosis is always based on the clinicomorphological findings with regard to an injury to at least of one more organ or tissue characteristic for such a disease. Sarcoid impairment of the liver is not infrequently coupled with chronic liver disease. The greatest difficulties may occur in differential diagnosis between primary biliary cirrhosis and sarcoidosis.
通过对2450份肝活检标本的检查发现,在所有活检标本中,有4%出现了不同类型的肉芽肿。其中,13.5%的病例可检测到类肉瘤样肉芽肿。肝结节病的诊断始终基于临床形态学表现,即至少有一个以上该疾病特有的器官或组织受到损伤。肝脏结节病损害常与慢性肝病相关。在原发性胆汁性肝硬化和结节病的鉴别诊断中可能会出现最大的困难。