Histology
•Fibrosis
may exist in an early stage, being confined to the portal tracts, an intermediate
stage consisting of expansion of the portal tracts and bridging between portal
areas or to the central area, or a late stage of frank cirrhosis characterized
by architectural disruption of the liver with fibrosis and regeneration
•Fibrosis
can be graded on a scale from 0 to 4
–Stage 0: No
fibrosis
–Stage 1: Enlargement
of the portal areas by fibrosis
–Stage 2: Fibrosis
extending out from the portal areas with rare bridges between portal
areas
–Stage 3: Many
bridges of fibrosis that link up portal and central areas of the liver
–Stage 4: cirrhosis