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肝移植术后肝活检:初学者的简明实用方法

Post-transplant liver biopsies: a concise and practical approach for beginners.

作者信息

Ourfali Mohamad Besher, Hirsch David, Scranton Marianna, Jabbour Tony El

机构信息

Department of Pathology and Laboratory Medicine, Hartford Hospital, Hartford, CT, USA.

Connecticut GI, Hartford, CT, USA.

出版信息

J Pathol Transl Med. 2025 Jan;59(1):1-10. doi: 10.4132/jptm.2024.11.15. Epub 2025 Jan 15.

Abstract

Exposure to post-transplant liver biopsies varies among pathology residencies and largely depends on the institution's training program, particularly if the hospital has a liver transplant program. The interpretation of biopsies from transplanted livers presents its own set of challenges, even for those with a solid understanding of non-transplant medical liver biopsies. In this review, we aim to provide a succinct, step-by-step approach to help you interpret liver transplant biopsies. This article may be beneficial for residents interested in liver pathology, gastrointestinal and liver pathology fellows in the early stages of training, clinical gastroenterology and hepatology fellows, hepatologists and general pathologists who are curious about this niche.

摘要

不同病理科住院医师接触移植后肝脏活检的机会有所不同,这在很大程度上取决于所在机构的培训计划,尤其是医院是否设有肝移植项目。即便对于那些对非移植性肝脏活检有扎实理解的人来说,解读移植肝脏的活检也有其自身的一系列挑战。在本综述中,我们旨在提供一种简洁的、循序渐进的方法,以帮助您解读肝移植活检。本文可能对有志于肝脏病理学的住院医师、处于培训早期阶段的胃肠病与肝脏病理学专科住院医师、临床胃肠病学与肝病专科住院医师、肝病学家以及对这一细分领域感兴趣的普通病理学家有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f52/11736277/0db6f1a0009f/jptm-2024-11-15f1.jpg

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