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clasa a 9-a download manual de logica clasa a 9-a offline manual de logica clasa a 9-a offline manual de logica clasa a 9-amanual de logica clasa a 9-a free downloadDevelopment of a semi-quantitative grading system for the liver to differentiate noncirrhotic from cirrhotic chronic hepatitis and hepatocellular carcinoma. Cells with many nuclei and small cell size (capillarizedcells) were observed not only in steatohepatitis but also in non-cirrhotic, chronic liver diseases. There have been no reports thatthe degree of hepatic steatosis and the degree of swelling of hepatocytes, in combination with the liver-function test, are usefulfor staging non-cirrhotic chronic hepatitis. We therefore examined if these features are useful for distinguishing non-cirrhoticchronic hepatitis from fibrosis of the liver. We graded the severity of steatosis, of hepatocyte swelling, and of fibrosis in liverbiopsy samples from 24 patients with non-cirrhotic chronic hepatitis, 37 patients with cirrhotic chronic hepatitis, 40 patientswith hepatocellular carcinoma and 27 patients with non-cancerous chronic hepatitis. Hepatocyte swelling and fibrosis werefrequently observed in non-cirrhotic chronic hepatitis. The degree of hepatocyte swelling was correlated positively to that ofsteatosis. When the grading of the three parameters was examined for their correlation, steatosis and hepatocyte swelling had
the highest correlation coefficient (0.82) among the three parameters. The index of the three parameters was used to divide
patients with chronic hepatitis into two groups, steatohepatitis and non-steatohepatitis. Steatohepatitis was found in only 4% of
the non-cirrhotic chronic hepatitis patients, but in 50% of the cirrhotic chronic hepatitis patients. Our grading system may be ofvalue in distinguishing non-cirrh f678ea9f9e
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