肝炎病理檢查報告解析：型別、等級與病情詳解-肝膽腸胃科

肝炎的病理檢查報告？

醫師你好近期有至醫院進行肝臟切片檢查，檢查後原醫師僅告知有肝臟發炎現象，建議我改變生活作息，同時開了一些保肝藥給我，可惜當初礙於門診時間無法對肝炎病狀進行更詳細的詢問。
回家自己上網搜尋發現，肝炎原來有分為許多不同的類型，並帶有不同的病症，且分級上竟然還帶有不同的評分方式（Ishak, Knodell, METAVIR）。
將當時病理檢查報告書內容轉述上來，麻煩蔡醫師能看看我到底是怎麼了，讓我能對自己的身體能有詳細的了解。
我的疑問條列如下：1. 肝炎類型為？
（慢性肝炎？
B型？
C型？
）2. 肝炎目前是哪一個等級？
3 .是否有肝臟纖維化？
4 .是否有脂肪變性？
5. 是否肝小葉有發炎病變？
謝謝--------------------------------------------檢驗報告PATHOLOGIC DIAGNOSIS：Liver; biopsy:Mild steatosis and steatohepatitis (grade 1/3, stage 1/4).--------------------------------------------GROSS FINDING：The specimen is two fragments of gray soft tissue, measuring 2.0 cm in length.All for section, embedded in one cassette.--------------------------------------------MICROSCOPIC FINDING：Section shows mild steatosis (-20%).The portal area shows mild lymphocytic infiltration.The hepatocytes shows focal ballooning degeneration.Mallory body is not seem.There is no bridging fibrosis.The special stain with Cu is negative.Steatohepatitis is favored. Please correlate with clinical findings.--------------------------------------------Scoring system for SteatohepatitisNecroinflammatory Grading:(v) Grade 1 (mild)Steatosis (mainly macrovesicular) involving up to 66% of lobules; occasional balloned perivenular hepatocytes; scattered neutrophils with or without lymphocytes; no or mild chronic portal inflammation.( ) Grade 2 (moderate)Steatosis of any degree; obvious ballooning (mainly perivenular); intralobular neutrophils, may be associated with perivenular pericellular fibrosis if evident; mild to moderate portal and intralobular chronic inflammation.( ) Grade 3 (severe)Panlobular steatosis; obvious perivenular ballooning and disarray; marked lobular inflammation; neutrophils may be concentrated in perivenular areas of ballooning and in areas of pericellular fibrosis if evident. Portal inflammation mild or moderate.--------------------------------------------Fibrosis staging:(v) stage 0-1：minimal pericellular fibrosis in perivenular areas, focal( ) stage 2：As above, plus focal or extensive periportal fibrosis( ) stage 3：Bridging fibrosis, focal or extensive( ) stage 4：Cirrhosis