Department of Pathology, Washington University School of Medicine, St Louis, MO 63110, USA.
Gut. 2011 Aug;60(8):1152-8. doi: 10.1136/gut.2010.218214. Epub 2011 Feb 8.
Pathologist's observations have remained central to the evolution of the field of non-alcoholic fatty liver disease, even with the advent of increasingly effective non-invasive markers of advanced fibrosis. As the field matures, the role of pathology has also shifted from being largely descriptive to being confirmatory and diagnostic, as well as providing semi-quantitative evaluation of specific findings, particularly in therapeutic interventional trials. Some newly appreciated histopathological findings will be discussed in this review.
病理学家的观察一直是非酒精性脂肪性肝病领域发展的核心,即使出现了越来越有效的先进纤维化非侵入性标志物也是如此。随着该领域的成熟,病理学的作用也已经从主要描述性转变为确认性和诊断性,同时还提供特定发现的半定量评估,特别是在治疗性介入试验中。在本综述中讨论了一些新认识的组织病理学发现。