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    Learn/Histology/Liver cirrhosis — regenerative nodules + bridging fibrosis (Trichrome)
    Pathologic·Pathology·Liver

    Liver cirrhosis — regenerative nodules + bridging fibrosis (Trichrome)

    Stain: Masson trichrome·Magnification: 4x·Tissue: Hepatic parenchyma with fibrosis·3 labeled regions
    Liver cirrhosis — regenerative nodules + bridging fibrosis (Trichrome) histology — Pathology, Liver, Masson trichrome
    Wikimedia Commons · File:Cirrhosis_of_the_liver_(trichrome_stain)_(5690946257).jpg · https://commons.wikimedia.org/wiki/File:Cirrhosis_of_the_liver_(trichrome_stain)_(5690946257).jpg (CC-licensed)
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    Description

    End-stage chronic liver injury: parenchyma reorganized into regenerative nodules walled off by blue-staining (collagen, on Trichrome) bridging fibrous septa. Loss of normal lobular architecture → portal hypertension + impaired function.

    Labeled regions (3)

    1. 1
      Regenerative nodule

      Round island of hepatocytes that has regrown without normal lobular orientation. Lacks central vein.

    2. 2
      Bridging fibrosis (blue)

      Bands of collagen (stellate cell-derived) connecting portal-portal or portal-central. Trichrome stains collagen blue.

    3. 3
      Distorted vascular architecture

      Intrahepatic shunts across fibrous septa raise portal pressure → varices, ascites, splenomegaly.

    More pathology histology

    Comedo DCIS — high-grade ductal carcinoma in situ
    Comedo DCIS — high-grade ductal carcinoma in situ
    Breast
    Cervical intraepithelial neoplasia (CIN 2 / HSIL)
    Cervical intraepithelial neoplasia (CIN 2 / HSIL)
    Cervix
    Acute MI — coagulative necrosis of cardiomyocytes
    Acute MI — coagulative necrosis of cardiomyocytes
    Heart (myocardium)
    Adenocarcinoma — colon
    Adenocarcinoma — colon
    Colon
    Granulomatous inflammation — non-caseating (sarcoid pattern)
    Granulomatous inflammation — non-caseating (sarcoid pattern)
    Squamous cell carcinoma with keratin pearls
    Squamous cell carcinoma with keratin pearls