By Christopher D. M. Fletcher, Philip H. McKee
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Extra resources for An Atlas of Gross Pathology
The live r is diffusely nodular but, in addition, two irregular areas of pale , neo plastic tissue are apparent. The larger, central portion of tumour has invaded the main hepatic vei n. Hepatoma, (primary hepatocellular carcinoma) is not uncommon and is seen most often in Africa and the Far East. A high proportion of'cases are associated with pre-existent cirrhosis, particularly alcoholic, viral and that associated with haemochromatosis. g . from herbal teas. 40 ......... 19 Multinodular hepatoma.
Following invasion of the bloodstream , excretion of Salmonellae in bile may tead to chronic gallbladder infection (whence the c arrier state) . Fig. 29 Intestinal tuberculosis. t. ,,, 10 versely around the bowel wall following the lines oltV" '1 I age . llilll lIll " of unpasteurised milk, or secondary, as a con soq ll'" rr , ing infected sputum from pulmonary d isease . II' calcification . 30 Small intestinal ischaemia. l IW 11111 1IIIIrkedly congested This is the apreArli1 II " ",I Uti li' IIIIW," wall, but lesser degrees of ischacllliu III, IY I' " ,ri ll I J' ,dl llice ration .
Fig. 44 'Meta plastic' polyp. This close-up view of large bowel mucosa shows a very small. pale. polypoid nodule situated on the crest of one of the mucosal folds . 'Metaplastic' polyps are, in fact. hyper· plastic lesions show ing an increased cell turnover They oc cur in the large bowel and may be found at any age. but are especially common from the 5th decade onwards. They are usually multiple, small . flat or sessile and arise most often in the rectum. They have no malignant potential. 'H .