Dzhanaliev B R, Zolotarevskiĭ V B, Popova I V, Rodionov K V
Arkh Patol. 1990;52(8):17-22.
Two variants of dysplastic hepatocytes are revealed: small and large which are characterized by cell atypia and probably result from the disturbance of regenerative processes. The disturbance of the liver lobule architectonics is also a feature of dysplasia. The degree of hepatocyte dysplasia assessed by morphometric indices (nuclei surface, ratio of ellipticity) and its frequency increase with progression of the pathological process: chronic persistent hepatitis----chronic active hepatitis----liver cirrhosis----hepatocellular carcinoma. More frequent observation of the hepatocyte dysplasia in viral liver conditions (HBsAg in dysplastic hepatocytes) indicates the role of hepatitis B virus in the development of hepatocyte dysplasia. Increase of DNA content and nuclei polymorphism are observed in small and large dysplastic hepatocytes when the degree of dysplasia is increasing, this making these cells closer to cells of hepatocellular carcinoma and favouring the concept of hepatocellular carcinoma development in the foci of dysplastic hepatocytes, particularly in liver cirrhosis.
小细胞型和大细胞型,其特征为细胞异型性,可能是再生过程紊乱所致。肝小叶结构的紊乱也是发育异常的一个特征。通过形态计量学指标(核表面积、椭圆率比值)评估的肝细胞发育异常程度及其发生率随病理过程进展而增加:慢性持续性肝炎→慢性活动性肝炎→肝硬化→肝细胞癌。在病毒性肝病(发育异常肝细胞中有乙肝表面抗原)中更频繁地观察到肝细胞发育异常,这表明乙肝病毒在肝细胞发育异常的发生中起作用。当发育异常程度增加时,在小细胞型和大细胞型发育异常肝细胞中观察到DNA含量增加和核多态性,这使得这些细胞更接近肝细胞癌的细胞,并支持在发育异常肝细胞灶,特别是在肝硬化中发生肝细胞癌的概念。