S2730 Hepatic Sclerosing Hemangioma: A Radiologically Deceptive Entity That Warrants Liver Biopsy for Accurate Diagnosis

We present a case of an 81-year-old female diagnosed with metastatic carcinosarcoma from a primary peritoneal Müllerian malignancy after endovascular biopsy of a large mass within her left renal vein extending into the inferior vena cava (IVC) after workup for increasing back and abdominal pain over one and a half months. Biopsy of the mass was performed with digital subtraction angiography using a combination of transjugular liver biopsy set as well as suction aspiration. We propose that suction aspiration of an intravascular mass is a safe and efficacious procedure to obtain accurate diagnosis.

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Necessity of Liver Biopsy for Accurate Diagnosis of Reyeʼs Syndrome

Journal of Pediatric Gastroenterology and Nutrition ◽

10.1097/00005176-198701000-00026 ◽

1987 ◽

Vol 6 (1) ◽

pp. 153 ◽

Cited By ~ 6

Author(s):

Akihiko Kimura ◽

Ichiro Yoshida ◽

Fumio Yamashila

Keyword(s):

Liver Biopsy ◽

Accurate Diagnosis

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953 EARLY LIVER BIOPSY IS CRUCIAL FOR ACCURATE DIAGNOSIS OF ALCOHOLIC HEPATITIS AND PROVIDES INDEPENDENT PROGNOSTIC INFORMATION IN PATIENTS WITH DECOMPENSATED ALCOHOLIC LIVER DISEASE

Journal of Hepatology ◽

10.1016/s0168-8278(08)60955-1 ◽

2008 ◽

Vol 48 ◽

pp. S356-S357

Author(s):

R.P. Mookerjee ◽

C. Lackner ◽

V. Stadlabauer ◽

M. Deheragoda ◽

R. Jalan

Keyword(s):

Liver Disease ◽

Liver Biopsy ◽

Alcoholic Liver Disease ◽

Alcoholic Hepatitis ◽

Accurate Diagnosis ◽

Prognostic Information

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Ultrastructural Changes Associated with Alcoholic Hyalin in Hepatocytes and Biliary Epithelial Cells

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100066929 ◽

1971 ◽

Vol 29 ◽

pp. 572-573

Author(s):

Odell T. Minick ◽

Hidejiro Yokoo ◽

Fawzia Batti

Keyword(s):

Endoplasmic Reticulum ◽

Epithelial Cells ◽

Liver Biopsy ◽

Alcoholic Hepatitis ◽

Ultrastructural Changes ◽

Main Mass ◽

Biliary Epithelial Cells ◽

Biopsy Specimens ◽

Alcoholic Hyalin

To learn more of the nature and origin of alcoholic hyalin (AH), 15 liver biopsy specimens from patients with alcoholic hepatitis were studied in detail.AH was found not only in hepatocytes but also in ductular cells (Figs. 1 and 2), although in the latter location only rarely. The bulk of AH consisted of a randomly oriented network of closely packed filaments measuring about 150 Å in width. Bundles of filaments smaller in diameter (40-90 Å) were observed along the periphery of the main mass (Fig. 1), often surrounding it in a rim-like fashion. Fine filaments were also found close to the nucleus in both hepatocytes and biliary epithelial cells, the latter even though characteristic AH was not present (Figs. 3 and 4). Dispersed among the larger filaments were glycogen, RNA particles and profiles of endoplasmic reticulum. Dilated cisternae of endoplasmic reticulum were often conspicuous around the periphery of the AH mass. A limiting membrane was not observed.

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Ultrastructure of Liver in Lactosyl Ceramidosis

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100065602 ◽

1971 ◽

Vol 29 ◽

pp. 312-313

Author(s):

Z. Hruban ◽

J. R. Esterly ◽

G. Dawson ◽

A. O. Stein

Keyword(s):

Connective Tissue ◽

Liver Biopsy ◽

Osmium Tetroxide ◽

Close Contact ◽

Multivesicular Bodies ◽

Bile Canaliculi ◽

Dense Bodies ◽

Marginal Plates ◽

Membranous Material ◽

Perichromatin Granules

Samples of a surgical liver biopsy from a patient with lactosyl ceramidosis were fixed in paraformaldehyde and postfixed in osmium tetroxide. Hepatocytes (Figs. 1, 2) contained 0.4 to 2.1 μ inclusions (LCI) limited by a single membrane containing lucid matrix and short segments of curved, lamellated and circular membranous material (Fig. 3). Numerous LCI in large connective tissue cells were up to 11 μ in diameter (Fig. 2). Heterogeneous dense bodies (“lysosomes”) were few and irregularly distributed. Rough cisternae were dilated and contained smooth vesicles and surface invaginations. Close contact with mitochondria was rare. Stacks were small and rare. Vesicular rough reticulum and glycogen rosettes were abundant. Smooth vesicular reticulum was moderately abundant. Mitochondria were round with few cristae and rare matrical granules. Golgi complex was seen rarely (Fig. 1). Microbodies with marginal plates were usual. Multivesicular bodies were very rare. Neutral lipid was rare. Nucleoli were small and perichromatin granules were large. Small bile canaliculi had few microvilli (Fig. 1).

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Coding for Evaluation and Treatment

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd18.1.9 ◽

2008 ◽

Vol 18 (1) ◽

pp. 9-20 ◽

Cited By ~ 1

Author(s):

Mark Kander ◽

Steve White

Keyword(s):

Medical Record ◽

Treatment Session ◽

Accurate Diagnosis ◽

Third Party ◽

Speech Language Pathologists ◽

Adequate Information ◽

Diagnosis Codes ◽

Coding Rules ◽

Procedure Codes ◽

The Web

Abstract This article explains the development and use of ICD-9-CM diagnosis codes, CPT procedure codes, and HCPCS supply/device codes. Examples of appropriate coding combinations, and Coding rules adopted by most third party payers are given. Additionally, references for complete code lists on the Web and a list of voice-related CPT code edits are included. The reader is given adequate information to report an evaluation or treatment session with accurate diagnosis, procedure, and supply/device codes. Speech-language pathologists can accurately code services when given adequate resources and rules and are encouraged to insert relevant codes in the medical record rather than depend on billing personnel to accurately provide this information. Consultation is available from the Division 3 Reimbursement Committee members and from [email protected] .

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