Pathology of the liver in leukaemia and lymphoma. A study of 110 autopsies

Histopathology. 1995 Apr;26(4):311-21. doi: 10.1111/j.1365-2559.1995.tb00192.x.

Abstract

Histopathological findings in the liver in a series of autopsies on 110 patients suffering from leukaemia or lymphoma were reviewed. No treatment had been given to 23 patients, 50 had received chemotherapy alone, 23 chemo- and radiotherapy and 14 underwent bone marrow transplantation. The 23 untreated patients showed neoplastic infiltration in 10 (44%) and fibrosis in 16 cases (70%). The 14 bone marrow recipients showed mainly acute necrosis, zonal in six (43%) and focal in one (7%), and cholestasis in five (36%), together with marked siderosis in 11 (79%). Patients receiving chemotherapy or chemo-/radiotherapy showed similar changes consisting of neoplastic infiltration in 14 (28%) and in five (22%) cases respectively, and fibrosis in 31 (62%) and 17 (74%) cases respectively. Steatosis was seen in 70% of cases in the chemo-/radiotherapy group and in 50% of cases in the other groups. Infections were seen in all groups, particularly in the chemotherapy group (four fungal and two bacterial including one tuberculosis) and in the chemo-/radiotherapy group (one fungal and one bacterial). Cytomegalovirus infection was seen only in the bone marrow transplant group.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Amyloid / analysis
  • Bone Marrow Transplantation / adverse effects
  • Cholestasis / pathology
  • Endarteritis / pathology
  • Female
  • Hepatic Veno-Occlusive Disease / pathology
  • Hepatomegaly / pathology
  • Humans
  • Leukemia / complications
  • Leukemia / pathology*
  • Leukemia / therapy
  • Liver / pathology*
  • Liver Diseases / complications
  • Liver Diseases / pathology*
  • Lymphoma / complications
  • Lymphoma / pathology*
  • Lymphoma / therapy
  • Male
  • Middle Aged
  • Necrosis / pathology
  • Siderosis / pathology

Substances

  • Amyloid