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 |