LIVER CIRRHOSISRelation Between Function and Structure Based on Biopsy Studies
SHELDON S. WALDSTEIN, M.D.;
HANS POPPER, M.D., Ph.D.;
PAUL B. SZANTO, M.D.;
FREDERICK STEIGMANN, M.D.
AMA Arch Intern Med. 1951;87(6):844-862.
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THE RELATION of hepatic structure and function is not well understood at present. Certainly they are related; the problem is to recognize and understand the relationship.
Needle biopsy of the liver is useful in this regard because histologic examination can be made to correspond closely in time with functional evaluation. It is recognized that this procedure may not represent focal disease well,1 that the small sample may be misleading in judging the degree of abnormality of certain features,2 that processing the specimen may effect histochemical alteration3 and that criteria for judging abnormality are not yet uniform among observers.
Several investigators have recently commented on the lack of correlation between histologic and functional alterations recognizable by current techniques.4 Others have concluded that correlations can be found, although they are not numerous.5 Because perfect correlation cannot be expected in biologic material, it is useful not only to
. . . [Full Text PDF of this Article]
Author Affiliations
CHICAGO
From the Hektoen Institute for Medical Research and the Department of Pathology of Cook County Hospital and Northwestern University Medical School and the Department of Medicine of Cook County Hospital and University of Illinois College of Medicine.
Footnotes
This study was supported by grants from the Dr. Jerome D. Solomon Memorial Research Foundation and from The Committee on Scientific Research of the American Medical Association.
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