Skip to main content
. 2014 Oct 17;4:6649. doi: 10.1038/srep06649

Table 2. Pathological grading of hepatic rejection.

Portal Inflammation 0 None
  1 Mostly lymphocytic inflammation involving, but not noticeably expanding, a minority of the triads
  2 Expansion of most or all of the triads, by a mixed infiltrate containing lymphocytes with occasional blasts, neutrophils and eosinophils
  3 Marked expansion of most or all of the triads by a mixed infiltrate containing numerous blasts and eosinophils with inflammatory spillover into the periportal parenchyma
Bile Duct Inflammation Damage 0 None
  1 A minority of the ducts are cuffed and infiltrated by inflammatory cells and show only mild reactive changes such as increased nuclear, cytoplasmic ratio of the epithelial cells
  2 Most or all of the ducts infiltrated by inflammatory cells. More than an occasional duct shows degenerative changes such as nuclear pleomorphism, disordered polarity and cytoplasmic vacuolization of the epithelium
  3 As above for 2, with most or all of the ducts showing degenerative changes or focal lumenal disruption
Venous Endothelial Inflammation 0 None
  1 Subendothelial lymphocytic infiltration involving some, but not a majority of the portal and/or hepatic venules
  2 Subendothelial infiltration involving most or all of the portal and/or hepatic venules
  3 As above for 2, with moderate or severe perivenular inflammation that extends into the perivenular parenchyma and is associated with perivenular hepatocyte necrosis