Article
Morphological signs of cirrhosis regression. Experimental observations on carbon tetrachloride-induced liver cirrhosis of rats.
Registro en:
VINICIUS, I. di et al. Morphological signs of cirrhosis regression. Experimental observations on carbon tetrachloride-induced liver cirrhosis of rats. Pathology, Research and Practice, v. 201, n. 6, p. 449-456, 2005.
0344-0338
10.1016/j.prp.2005.05.009
Autor
Vinicius, Igor Di
Baptista, Ana Paula
Barbosa Junior, Aryon de Almeida
Andrade, Zilton de Araújo
Resumen
Regression of hepatic cirrhosis is a controversial issue. Recently, a list of histopathological features, observed in
human material, was suggested as a hallmark of cirrhosis in the process of regression. An investigation for the presence
of these morphologic features was performed at monthly intervals in rats with proved carbon tetrachloride (CCl4)-
induced cirrhosis over a period of 9 months following discontinuation of treatment, using sequential liver biopsies.
Within the first 4 months, features of the ‘‘hepatic repair complex’’ were identified, together with the enlargement of
the hepatic nodules and thinning of the fibrous septa. Subsequent to the 4 months, the histological picture, composed
of large and inconspicuous nodules and delimited by thin and frequently incomplete fibrous septa ‘‘incomplete septal
cirrhosis’’, appeared to be stabilized. These fibrous septa, when injected with India ink from the portal trunk, presented
blood vessels that were seen to drain directly into the sinusoids. These findings suggested that when the cause of
cirrhosis is removed, the liver may adapt itself to a new and permanent structure, probably compatible with normal or
near-normal function, which may render hepatic cirrhosis clinically, although not morphologically, reversible.
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