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丙型肝炎:显著坏死和炎症伴脂肪变性


丙型肝炎,有一半丙肝可发展为慢性。慢性肝炎通过活动程度(坏死与炎症)分级,通过纤维化程度分期。该患者的坏死和炎症显著,伴一定程度的脂肪变性。不管肝炎的分期和分级如何,病因是必须要查明的,因为治疗需要明确的病因,并且而不同病因的慢性肝炎可表现为相似的镜下和肉眼病变。
This is a case of viral hepatitis C, which in half of cases leads to chronic liver disease. The extent of chronic hepatitis can be graded by the degree of activity (necrosis and inflammation) and staged by the degree of fibrosis. In this case, necrosis and inflammation are prominent, and there is some steatosis as well. Regardless of the grade or stage, the etiology of the hepatitis must be sought, for the treatment may depend upon knowing the cause, and chronic liver diseases of different etiologies may appear microscopically and grossly similar.

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