Division of Transplantation and Hepatic Pathology
Teaching Slide Set
Teaching slides are maintained by Ms. Jill March and may be checked out by trainees. The slides are kept in the Transplant Pathology signout room on the 7th floor, East wing UPMC Montefiore. Please contact Ms. Jill March at 647-9509 for access to these cases. Ms. March also will provide the trainee with a Resident Handout that details many of the issues dealt with here, and also provides a number of complete references that serve as a foundation for the rotation. Material from our TPIS website at http://tpis.upmc.edu is also included. Please contact Ms. March at or prior to the beginning of your rotation to obtain a copy of this handout.  Below is a list of our current slide colection box names, along with the short diagnosis.
Box Short DX
Acute cellular rejection, 1A – 1B, heart  heart rejection 1B
Acute cellular rejection, 1A – 1B, heart  1B heart rejection
Acute cellular rejection, 1A – 1B, heart  1A heart rejection
Acute cellular rejection, 2, heart  Heart- 1B-2 rejection
Acute cellular rejection, 2, heart  Heart- Acute rejection grade 2
Acute cellular rejection, 3A – 3B, heart  3A Rejection, + C4D, heart
Acute cellular rejection, 3A – 3B, heart  3A heart rejection, arteritis
Acute cellular rejection, 3A – 3B, heart  3A heart rejection
Acute cellular rejection, 3A – 3B, heart  Heart- 3B rejection
Acute cellular rejection, 3A – 3B, heart  Heart- Acute rejection grade 3b
Acute cellular rejection, III, pancreas  Pancreas-mild III rejection
Acute cellular rejection, kidney, Banff IA - IB Kidney- IB rejection
Acute cellular rejection, kidney, Banff IA - IB Kidney- IB rejection
Acute cellular rejection, kidney, Banff IA - IB Kidney acute rejection 1A
Acute cellular rejection, kidney, Banff IIA – IIB Kidney-moderate acute rejection
Acute cellular rejection, kidney, Banff IIA – IIB Kidney- IIB rejection
Acute cellular rejection, kidney, Banff IIA – IIB Kidney- Diffuse C4d severe ACR, nephrectomy
Acute cellular rejection, kidney, Banff IIA – IIB Kidney- Acute rejection IIB
Acute cellular rejection, kidney, Banff IIA – IIB Kidney Acute rejection IIA
Acute cellular rejection, kidney, Banff IIA – IIB Allograft Kidney- Severe ACR IIB-III
Acute cellular rejection, kidney, Banff IIA – IIB Allograft kidney- severe acute rejection
Acute cellular rejection, mild, intestine  Bowel- mild rejection
Acute cellular rejection, mild, liver  Centrizonal rejection, liver
Acute cellular rejection, mild, liver  Liver- ACR central venulitis, hepC 4/6
Acute cellular rejection, mild, liver  Liver- Mild ACR with central venulitis
Acute cellular rejection, mild, liver  Liver- mild ACR and recurrent hep C
Acute cellular rejection, moderate, intestine  Bowel-moderate rejection
Acute cellular rejection, moderate, intestine  Bowel- mod to severe rejection
Acute cellular rejection, moderate, intestine  Bowel- mod rejection
Acute cellular rejection, moderate, intestine  Allograft bowel- moderate acute rejection
Acute cellular rejection, moderate, liver  Liver- mod acute rejection
Acute cellular rejection, moderate, liver  Liver- moderate ACR with central venulitis
Acute cellular rejection, pancreas  Pancreas- mild to mod rejection
Acute cellular rejection, pancreas  Pancreas- moderate ACR
Acute cellular rejection, pancreas  Pancreas- mod to severe ACR
Acute cellular rejection, severe, liver Liver- mod to severe rejection
Acute cellular rejection, severe, liver Allograft liver ACR mod to severe
Autoimmune hepatitis  Liver- ?autoimmune hepatitis
Autoimmune hepatitis  Liver- autoimmune hepatitis
Autoimmune hepatitis  Liver- AIH
Autoimmune hepatitis  Liver- severe acute chronic hepatitis R/O autoimmune
Biliary obstruction, liver  Liver- duct obstruction
Biliary obstruction, liver  Liver- cholangitis, obstruction
Biliary obstruction, liver  Liver ?recurrent PSC r/o PBC
Biliary obstruction, liver  Allograft liver, r/o obstruction, duct problem
Biliary obstruction, liver  Liver, acute cholangitis
Biliary obstruction, liver  R/O Biliary obstruction
BK virus infection, kidney  Kidney- BKV
Bowel, miscellaneous Ampulla Vater adenoca
Bowel, miscellaneous Allograft bowel- CMV
Bowel, miscellaneous Bowel- C difficle pseudomem colitis
Bowel, miscellaneous Bowel- virus like changes; adenovirus ISH negative
Cholangiocarcinoma Bile duct- intraductal pap. Adenoca.
Cholangiocarcinoma Bile duct carcinoma
Cholangiocarcinoma Liver- Papillary cholangiocarcinoma
Cholangiocarcinoma Liver- Bile duct adenocarcinoma
Chronic allograft nephropathy, mild / moderate Kidney, allograft, mod. CAN
Chronic allograft nephropathy, mild / moderate Allograft kidney- mild CAN
Chronic allograft nephropathy, mild / moderate Allograft kidney- mild CAN
Chronic allograft nephropathy, severe  Kidney- chronic rejection (nephrectomy)
Chronic allograft nephropathy, severe  Allograft nephreectomy- severe ACR, CAN, FSG
Chronic allograft nephropathy, severe  Kidney allograft, severe CAN
Chronic allograft nephropathy, severe  Allograft Kidney- severe CAN with superimposed ACR
Chronic rejection, late, liver  Liver-chronic rejection
Chronic rejection, liver  Liver chronic rejection r/o artery problem
Chronic rejection, pancreas  Allograft Pancreas- chronic rejection and severe (5) ACR
Cytomegalovirus infection CMV Allograft Bowel
Cytomegalovirus infection CMV- native gut
Donor, Kidney Donor kidney- thrombosis
Donor, Kidney Angiomyolipoma
Donor, Liver Liver, donor, steatosis 30-35%
Donor, Liver Liver, donor, bridging necrosis
Donor, Liver Liver, donor- amyloid
Donor, Liver Liver, normal (donor)
Donor, Liver Liver- donor, 85 yr. high lipofuscin (used successfully)
Donor, Miscellaneous Myelolipoma
Donor, Miscellaneous Donor- adrenal adenoma
Focal nodular hyperplasia, liver  FNH
Focal nodular hyperplasia, liver  Liver-Regen modules with FNH features
Focal nodular hyperplasia, liver  Liver- FNH
Focal nodular hyperplasia, liver  Liver FNH needle bx
Focal nodular hyperplasia, liver  Liver- FNH
Gallbladder Gallbladder- Biospheres, acute cholecystitis
Glomerulopathy, allograft kidney  Crescentic GN
Heart, miscellaneous Heart, native, hypertrophic cardiomyopathy
Heart, miscellaneous Heart native, granulomatous carditis
Heart, miscellaneous Heart- amyloid
Heart, miscellaneous Heart- allograft vasculopathy with arteritis
Hepatocellular adenoma  Liver- adenomatosis
Hepatocellular adenoma  Liver- hepatocellular adenoma
Hepatocellular adenoma  Liver- hepatocellular adenoma
Hepatocellular adenoma  Liver- hepatocellular adenoma
Hepatocellular adenoma  Liver- hepatocellular adenoma
Hepatocellular carcinoma HCC- canalicular pCEA stain
Hepatocellular carcinoma Liver- sclerosing HCC
Hepatocellular carcinoma Liver- HCC
Hepatocellular carcinoma HCC- fibrolamellar
Hepatocellular carcinoma Liver HCC + CC (mixed)
Hepatocellular carcinoma Liver- HCC (inc. Mallory/protein in cytoplasm)
Hepatocellular carcinoma Liver- HCC- suggestion of mixed cholangio features
Hepatocellular carcinoma, microvascular invasion  Liver- fibrolamellar hepatoma
Humoral rejection Bowel- humoral rejection
Humoral rejection Allograft kidney, humoral rejection
Interstitial nehpritis, kidney  Kidney- interstitial nephritis
Ischemic Injury, Liver Liver- moderate ischemic injury
Ischemic Injury, Liver Liver- mild ischemic injury
Ischemic Injury, Liver Liver- HA thrombosis
Ischemic Injury, Liver Liver- HA thrombosis
Ischemic Injury, Liver Allograft liver, vascular problem
Ischemic Injury, Liver Allograft hepatectomy, ischemic injury favor donor disease.
Ischemic Injury, Liver R/O PV problem, small for size, other vascular problem
Kidney, miscellaneous Kidney- oxalosis
Kidney, miscellaneous Allograft nephrectomy- ?vascular problem
Kidney, miscellaneous Kidney- hemorrhagic pseudocyst w Liesegang phenom.
Liver- cystic lesions/neoplasms Liver- Biliary cystadenoma
Liver- cystic lesions/neoplasms Liver- Caroli's/CHF
Liver- cystic lesions/neoplasms Liver- Biliary cystadenoma
Liver- cystic lesions/neoplasms Biliary cystadenoma
Liver- cystic lesions/neoplasms Liver- Biliary cystadenoma
Liver- cystic lesions/neoplasms Liver, met. Ocular melanoma
Liver Toxicity Liver-tylenol toxicity
Liver Toxicity Hepatitis ?Drug
Liver Toxicity Liver- TPN effect
Liver Toxicity Liver- Amiodarone toxicity?
Liver Toxicity TPN effect
Liver Toxicity Mushroom toxicity, liver
Liver Toxicity Liver, tylenol toxicity
Liver Toxicity Liver- c/w amiodarone toxicity
Liver Toxicity Liver- total parenteral nutrition effect
Liver, metastatic tumors Colon CA met to bile duct
Liver, metastatic tumors Liver- met. Melanoma
Liver, metastatic tumors Liver- met colon mucinous ca
Liver, metastatic tumors Liver- neuroednocrine carcinoma
Liver, metastatic tumors Liver- metsatatic carcinoid
Liver, metastatic tumors Liver with B cell CLL/Small Lym Lymphoma
Liver, metastatic tumors Liver- c/w Hodgkin disesae
Liver, metastatic tumors Liver- metastatic renal cell adenoca.
Liver, metastatic tumors Liver- metastatic breast carcinoma
Liver, miscellaneous Liver, native, amyloidosis
Liver, miscellaneous Liver- A1AT deficiency
Liver, miscellaneous Liver- hemochromatosis
Liver, miscellaneous Liver- cystinosis
Liver, miscellaneous Liver- occluded splenorenal shunt
Liver, miscellaneous Liver- Inflammatory Pseudotumor
Liver, miscellaneous Liver- granulomoatous hepatitis
Liver, miscellaneous Liver- cirrhosis, h/o treated Wilson's disease
Liver, miscellaneous Liver- acute fatty liver of pregnancy
Liver, sarcomas Pecoma, angiomyolipoma
Liver, sarcomas Liver- met leiomyosarcoma
Liver, sarcomas Liver- rhabdomyosarcoma
Native kidney diseases cast nephropathy
Outflow obstruction, liver  Liver Budd Chiari Syndrome
Outflow obstruction, liver  Liver- venoocclusive disease
Outflow obstruction, liver  Liver- possible outflow problem
Outflow obstruction, liver  Liver- outflow obstruction
Outflow obstruction, liver  Liver- Budd Chiari
Preservation changes, heart  Heart- ischemic injury
Preservation changes, heart  Heart- allograft, ischemic injury
Preservation changes, liver  Liver- moderate ischemic injury
Primary biliary cirrhosis  Liver- c/w PBC
Primary biliary cirrhosis  Liver, PBC cirrhosis
Primary biliary cirrhosis  Liver- primary biliary cirrhosis
PTLD PTLD
PTLD EBV-LPD, native liver (arthritis)
PTLD PTLD
PTLD PTLD
PTLD PTLD
PTLD PTLD- monomorphic
PTLD PTLD- polymorphic
PTLD PTLD- polymorphic
Quilty lesion, heart  Heart- Infiltrating Quilty
Quilty lesion, heart  Heart, small Quilty and fibrosis
Quilty lesion, heart  Heart, small Quilty
Quilty lesion, heart  Heart, small Quilty
Recurrent viral hepatitis, liver  Liver- recurrent hep C
Recurrent viral hepatitis, liver  Liver- recurrent hep C
Recurrent viral hepatitis, liver  Liver, native, hepatitis B
Recurrent viral hepatitis, liver  Liver- recurrent hep C
Recurrent viral hepatitis, liver  Liver- recurrent hep C
Recurrent viral hepatitis, liver  Liver- recurrent AIH
Recurrent viral hepatitis, liver  Liver- allograft hepatctomy; recur HepC cirrhosis
Sclerosing cholangitis  Liver- PSC
Steatohepatitis with bridging fibrosis  Steatohepatitis r/o ach/overlap
Steatohepatitis with bridging fibrosis  Liver, steatohepatitis
Steatohepatitis with bridging fibrosis  Liver- steatohepatitis 95% fat
Steatohepatitis with bridging fibrosis  Liver- cirrhosis, favor NASH
Donor, Kidney Kidney- Donor biopsy, Diabetes mellitus
Liver, miscellaneous Liver- Herpes simplex hepatitis and tylenol toxicity
Donor, Kidney Kidney- Donor biopsy, near normal
Bowel, miscellaneous Bowel- Desmoid tumor
Liver, sarcomas Liver- malignant PEComa
Liver, sarcomas Rhabdomyosarcoma (extrahepatic)