From: Interobserver study on histologic features of idiopathic non-cirrhotic portal hypertension
Questions for L1 to L45 (Lobules) | Questions for P1 to P45 (Portal tracts) |
---|---|
Please review the lobules in the image. | Please review the portal tract in the image. |
The images are taken at × 10. | The images are taken at ×20. |
Please choose your answer based on your assessment of lobules only, not the portal tracts. | When more than one portal tracts are noted, review the one in the center of the image. |
 | Please choose your answer based on your assessment of portal tracts only, not the lobules. |
Q1-L) If there is NO clinical history of portal hypertension and there is no advanced fibrosis (no bridging fibrosis or cirrhosis) in the sample, this lobule shows/is: | Q1-P) If there is NO clinical history of portal hypertension and there is no advanced fibrosis (no bridging fibrosis or cirrhosis) in the sample, this portal tract shows/is: |
a. Within normal limits (single choice) | a. Within normal limits (single choice) |
OR | OR |
(b-f: multiple choice, you can choose one or more answers) | (b-e: multiple choice, you can choose one or more answers) |
b. Anisocytosis | b. Paraportal shunting vessel(s) |
c. Nodular regeneration | c. Portal tract remnant |
d. Sinusoidal dilatation | d. Increased number of portal vessels |
e. Increased parenchymal draining veins | e. Obliterative portal venopathy (phlebosclerosis) |
f. Incomplete fibrous septa | Â |
Q2-L) If there IS a clinical history of portal hypertension and there is no advanced fibrosis (no bridging fibrosis or cirrhosis) in the sample (in other words, you start to consider a possibility of INCPH in this case) this lobule shows/is: | Q2-P) If there IS a clinical history of portal hypertension and there is no advanced fibrosis (no bridging fibrosis or cirrhosis) in the sample (in other words, you start to consider a possibility of INCPH in this case), this portal tract shows/is: |
a. Within normal limits (single choice) | a. Within normal limits (single choice) |
OR | OR |
(b-f: multiple choice, you can choose one or more answers) | (b-e: multiple choice, you can choose one or more answers) |
b. Anisocytosis | b. Paraportal shunting vessel(s) |
c. Nodular regeneration | c. Portal tract remnant |
d. Sinusoidal dilatation | d. Increased number of portal vessels |
e. Increased parenchymal draining veins | e. Obliterative portal venopathy (phlebosclerosis) |
f. Incomplete fibrous septa | Â |
Q3-L) Comment (optional) | Q3-P) Comment (optional) |