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Adv Anat Pathol. 2009 Mar;16(2):97-117. doi: 10.1097/PAP.0b013e31819946aa.

Seeking beyond rejection: an update on the differential diagnosis and a practical approach to liver allograft biopsy interpretation.

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Department of Pathology and Laboratory Medicine, University of Calgary, Calgary and Calgary Laboratory Services, Foothills Medical Center, 1403-29 Street NW, Calgary, Alberta, Canada.


Pathologic evaluation of liver allograft biopsies plays an integral role in the management of patients after liver transplantation. This review summarizes the clinical context and classical histology of different types of allograft rejection and also the common entities that enter the differential diagnosis of allograft rejection, and provides practical approaches to liver allograft biopsy interpretation. In addition, some of the new developments in the field of liver transplant pathology are updated. The purpose of this review is to provide guidance for pathologists interpreting liver allograft biopsies, particularly those interested in developing expertise in the field of liver transplant pathology.

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