MORPHOLOGIC DIAGNOSI(E)S AND ETIOLOGY:
- Liver , focal fibrosis and hepatocellular atrophy, mild (6703)
- Liver , focal fibroacinar formation (2503, 2005)
- Liver , hepatocellular adenocarcinoma , focal(5507) and diffuse (427)
- Liver , hepatocellular acinar formation(427)
Etiology: PCBs - Aroclor 1254 ingestion
CONTRIBUTOR: Anonymous
CONTRIBUTOR'S COMMENTS: (Proposed pathogenesis of the lesion(s), important considerations and diagnostic features, discussion of controversial issues).
PCBs have been well documented to be carcinogenic in laboratory animals and may be carcinogenic in humans(1,2) In these liver slides a range of lesions is present including : (1) focal hepatocellular atrophy with loss of hepatocytes and fibrosis (2) focal fibroacinar formation (3)hepatocellular acinar formation (4) hepatocellular adenocarcinoma formation. The ability of hepatocytes to transform into acinar structures was a striking feature.
REFERENCES:
- U.S. Environmental Protection Agency (Sept 1996) PCBs : Cancer Dose-Response Assessment and Application to Environmental Mixtures Report No. EPA/600/P - 96 /001F
- ATSDR (Agency for Toxic Substances and Disease Registry) (Nov 2000) Polychlorinated Biphenyls (Update)
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