肝膽腸胃科病理科檢查報告解讀-肝膽腸胃科

看不懂的病理檢查報告？

陳醫師再次打擾你，今天我去醫院影印了一份病理檢查報告書，這是當初決定要進行干擾素治療的一次重要檢查，但是礙於當初門診時間的倉促並無法聽懂這到底代表什麼樣的涵義，也不知道這是不是就可以取代病毒檢測數量作為治療的一項依據。
我把這份報告書的內容轉述上來，再次麻煩陳醫師看看我到底是怎麼了，因為目前完成干擾素治療後我已經恢復像以前只吃保肝藥的方式等定期檢查，並沒有其他比較積極的治療方式，我是不是需要換一家醫院再做一下確認呢？
DIAGNOSIS：Liver, needle biopsy,1.chronic active hepatitis with mild necroinflammatory activity and mild fibrosis(grading 1/4).2.fatty change.The specimen submitted consists of 2 cords of liver tissue, measuring up to 0.7 cm in length. All for section with Masson’s trichrome stain performed for fibrous grading.Summary of microscopic findings：HAI scoreA.Ishak Modified HAI Grading (necroinflammatory score)(shown as patient’s score/maximal score of each parameter )1)Periportal or periseptal interface hepatitis (piecemeal necrosis = 1/4.2)Confluent necrosis = 0/6.3)Focal (spotty) lytic necrosis, apoptosis and intralobular inflammation = 1/4.4)Portal inflammation = 1/4.B.Staging (Scheuer system for fibrosis and cirrhosis)(4-tiered):score = 1/4.Status of specimen:Fragmentation: not fragmented.Evaluable portal areas: complete = 4 in number.Incomplete = 1 in number.Other findings:Fatty change: present and mark. Nuclear dysplasia: absent.[Special stain x 1]