Consensus on the histopathological evaluation of liver biopsies from patients following allogeneic hematopoietic cell transplantation.

After allogeneic hematopoietic cell transplantation (alloHCT) liver biopsy is performed for enigmatic liver disorders when noninvasive diagnostic steps have failed in establishing a definitive diagnosis. This document provides an updated consensus on the prerequisites for proper evaluation of liver...

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Published in:Virchows Archiv: European Journal of Pathology Vol. 464; no. 2; pp. 175 - 191
Main Authors: Stift, Judith, Baba, Hideo A, Huber, Elisabeth, Federmann, Birgit, Fischer, Hans-Peter, Schmitt-Graeff, Annette, Baurmann, Herrad, Bethge, Wolfgang, Schirmacher, Peter, Wrba, Fritz, Greinix, Hildegard, Fend, Falko, Schwerdtfeger, Rainer, Shulman, Howard M, Wolff, Daniel, Longerich, Thomas
Format: Journal Article
Published: Springer Nature Feb2014
Online Access:View this record in EBSCOhost
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      dt: Feb2014
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      pub: Springer Nature
      place: New York, New York
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        atl: Consensus on the histopathological evaluation of liver biopsies from patients following allogeneic hematopoietic cell transplantation.
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          Stift, Judith
          Baba, Hideo A
          Huber, Elisabeth
          Federmann, Birgit
          Fischer, Hans-Peter
          Schmitt-Graeff, Annette
          Baurmann, Herrad
          Bethge, Wolfgang
          Schirmacher, Peter
          Wrba, Fritz
          Greinix, Hildegard
          Fend, Falko
          Schwerdtfeger, Rainer
          Shulman, Howard M
          Wolff, Daniel
          Longerich, Thomas
        affil: Institute of Clinical Pathology, Medical University of Vienna, Vienna, Austria.
      sug:
        subj:
          Graft Versus Host Disease Diagnosis
          Hematopoietic Stem Cell Transplantation Adverse Effects
          Liver Pathology
          Adolescence
          Adult
          Aged
          Biopsy
          Child
          Child, Preschool
          Female
          Male
          Middle Age
          Allografts
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: After allogeneic hematopoietic cell transplantation (alloHCT) liver biopsy is performed for enigmatic liver disorders when noninvasive diagnostic steps have failed in establishing a definitive diagnosis. This document provides an updated consensus on the prerequisites for proper evaluation of liver biopsies in alloHCT patients and the histological diagnostic criteria for liver graft-versus-host disease (GvHD). The Working Group's recommendations for the histological diagnosis of liver GvHD were derived from the peer-reviewed literature and from the consensus diagnosis of a total of 30 coded liver biopsies. Acceptance of the recommendations was tested by a survey distributed to all HCT centers in Austria, Germany and Switzerland. Consensus was achieved for biopsy indications, methods of sample acquisition and processing, reporting and interpretation of biopsy findings. As GvHD is variably treated and the treatment modalities have changed over time, the panel endorses the use of more frequent biopsies in clinical studies in order to improve the present challenging clinical and diagnostic situation.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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