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The Gordon R. Hennigar Pathology Museum Collection

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41.
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Liver: Metastatic Choriocarcinoma
Liver: Metastatic Choriocarcinoma Metastatic choriocarcinoma; multifaceted pigment stones in gallbladder. COMMENT (#60-64): Metastatic tumors in liver characteristically have central necrosis (umbilicated appearance through the capsule) due to outgrowth of blood/nutrient supply--other than this, variations in appearance may reflect origin of tumor i.e., the melanoma is represented by both pigmented and non-pigmented (amelanotic) metastases; choriocarcinoma typically is hemorrhagic. The cholelithiasis in #64 is unrelated to metastatic tumor)
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Liver: Multiple Infarction, Ischemic Heart Disease
Liver: Multiple Infarction, Ischemic Heart Disease Multiple infarction of liver--ischemic heart disease. Comment: Multifocal areas of infarction are present--easiest to see are white, sharply demarcated, with irregular borders.
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Liver: Multiple Adenomas
Liver: Multiple Adenomas Multiple liver cell adenomas . COMMENT(#49 & #50): Good examples of multiple adenomas; areas of infarction/hemorrhage often found (remember microscopic characteristics).
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Liver: Multiple Adenomas
Liver: Multiple Adenomas Multiple liver cell adenomas. COMMENT(#49 & #50): Good examples of multiple adenomas; areas of infarction/hemorrhage often found (remember microscopic characteristics).
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Liver: Nodular Hyperplasia
Liver: Nodular Hyperplasia Nodular hyperplasia
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Liver: Nodular Hyperplasia
Liver: Nodular Hyperplasia Nodular hyperplasia of liver. COMMENT: #46 and #48 have well developed scars in the presence of nodular liver tissue, these being the gross characteristics of this lesion (review microscopic characteristics).
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Liver: Nodular Hyperplasia
Liver: Nodular Hyperplasia Nodular hyperplasia of liver. COMMENT: #46 and #48 have well developed scars in the presence of nodular liver tissue, these being the gross characteristics of this lesion (review microscopic characteristics).
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Liver: Nodular Regenerative Hyperplasia
Liver: Nodular Regenerative Hyperplasia Nodular regenerative hyperplasia. Comment: As above. COMMENT ON SPECIMENS (#25-29): These illustrate the range of changes seen in autopsy livers from patients dying from viral hepatitis (liver disease or complications therefrom): #25=a liver that is bile stained and shows dark areas of necrosis but is not as massively necrotic as #26 and #27 (these two livers probably less than 800-900 gms) and although these two do not now show the usual maroon appearance, there has been a marked loss of hepatocytes. #28 and #29 show pale nodular areas interspersed in liver parenchyma which histologically demonstrates, besides necrosis, scarring or cirrhosis (#28 less, #29 more scarring). The nodular areas actually represent attempts at regeneration of hepatocytes.
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Liver: Metastatic Oat Cell Carcinoma of Lung
Liver: Metastatic Oat Cell Carcinoma of Lung Oat cell carcinoma of lung metastatic to liver. COMMENT (#60-64): Metastatic tumors in liver characteristically have central necrosis (umbilicated appearance through the capsule) due to outgrowth of blood/nutrient supply--other than this, variations in appearance may reflect origin of tumor i.e., the melanoma is represented by both pigmented and non-pigmented (amelanotic) metastases; choriocarcinoma typically is hemorrhagic. The cholelithiasis in #64 is unrelated to metastatic tumor)
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Liver: Metastatic Ovarian Carcinoid
Liver: Metastatic Ovarian Carcinoid Ovarian carcinoid metastatic to liver
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Liver: Polyarteritis Nodosa, Infarction
Liver: Polyarteritis Nodosa, Infarction Polyarteritis nodosa with liver and kidney infarcts. Comment: Almost entire left lobe is infarcted--arrow points to thrombosed hepatic artery branch; many arteries (arrows) near the corticomedullary junctions of kidney (probably arcuate arteries) have abnormally thick walls and are thrombosed--infarcts can be seen (arrows).
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Liver: Polycystic
Liver: Polycystic Polycystic liver in Potter Type III polycystic kidney disease
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Liver: Alcoholic Cirrhosis
Liver: Alcoholic Cirrhosis Portal cirrhosis; fatty degeneration. COMMENT: Specimens 13-22 are all examples of cirrhosis associated with alcoholism (Laennec's, portal, nutritional, alcoholic)--note that the specimens have a micronodular pattern in general with a generally uniform appearance to the nodules; however, note that some of the livers have nodules of up to about 1 cm. (see note below) and that there may be some variability in nodule size within one specimen. Intervening parenchyma is composed of fibrous septae. Also note that the remaining nodular liver parenchyma is quite pale or yellow = fatty change associated with continued alcohol abuse. Picture corresponding microscopic picture in your mind's eye of fatty change and cirrhosis (remember the definition of cirrhosis). Specimen #22 indicates that microscopically there is necrosis of hepatocytes with an inflammatory response = this is not evident grossly in this specimen. In this series, the small firm livers are good examples of end stage nutritional or alcoholic cirrhosis. NOTE: Although Robbins says that micronodular cirrhosis has nodules of up to 1 cm. in diameter, Dr. Hennigar's measurement of 3mm. and below is more characteristic.
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Liver: Post-Necrotic Cirrhosis
Liver: Post-Necrotic Cirrhosis Post-necrotic cirrhosis
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Liver: Post-Necrotic Cirrhosis
Liver: Post-Necrotic Cirrhosis Post-necrotic cirrhosis with portal vein thrombosis. COMMENT: Specimens (#30-33) all illustrate, whatever the etiology may be, more coarsely nodular (macronodular) livers that usually seen with alcoholic or nutritional cirrhosis, with many of the nodules greater than 1 cm. Broad scars and irregular sized nodules are characteristic.
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Liver: Post-Necrotic Cirrhosis--Hepatic B Viruses
Liver: Post-Necrotic Cirrhosis--Hepatic B Viruses Post-necrotic cirrhosis--Hepatic B viruses. COMMENT ON SPECIMENS (#25-29): These illustrate the range of changes seen in autopsy livers from patients dying from viral hepatitis (liver disease or complications therefrom): #25=a liver that is bile stained and shows dark areas of necrosis but is not as massively necrotic as #26 and #27 (these two livers probably less than 800-900 gms) and although these two do not now show the usual maroon appearance, there has been a marked loss of hepatocytes. #28 and #29 show pale nodular areas interspersed in liver parenchyma which histologically demonstrates, besides necrosis, scarring or cirrhosis (#28 less, #29 more scarring). The nodular areas actually represent attempts at regeneration of hepatocytes.
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Liver: Post-Necrotic Cirrhosis
Liver: Post-Necrotic Cirrhosis Post-necrotic cirrhosis; 20 years carbon tetrachloride exposure. COMMENT: Faint fairly large nodules can be appreciated here; there is relatively little fibrosis appreciated grossly. COMMENT: Specimens (#30-33) all illustrate, whatever the etiology may be, more coarsely nodular (macronodular) livers that usually seen with alcoholic or nutritional cirrhosis, with many of the nodules greater than 1 cm. Broad scars and irregular sized nodules are characteristic.
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Liver: Primary Hemochromatosis
Liver: Primary Hemochromatosis Primary hemochromatosis. COMMENT: Characteristic picture of pigment cirrhosis of finely nodular brown liver.
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Liver: Primary Hepatoma--Cholangiocarcinoma
Liver: Primary Hepatoma--Cholangiocarcinoma Primary hepatoma--cholangiocarcinoma. COMMENT: Good portion of specimen occupied by solid white tumor (arrow) infiltrating liver
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Liver: Alcoholic Fatty Liver
Liver: Alcoholic Fatty Liver Severe fatty metamorphosis of liver (No number). Comment on L-10 through L-12: Livers are pale, enlarged with ""rolled"" edges--one specimen (L-12) has been stained with Oil Red O to demonstrate the fat present in the tissue.
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