Histologic analysis of chronic inflammatory patterns in the gallbladder: diagnostic criteria for reporting XXXX .

@entity32 @entity82 @entity2679 @entity9279
Cholecystectomy is one of the most common surgical procedures. @entity32 is by far the most common pathology of the gallbladder. Terms for describing @entity2679 are numerous, thus there is no uniform terminology. One hundred cholecystectomies and 10 gallbladders from autopsies were reviewed and inflammatory changes were analyzed. @entity2679 was seen in 75% of cases with epithelial metaplasia and 73% with regenerative epithelium, the latter being associated with erosion but not with the presence of @entity9279 . Muscular thickening and adipose deposits were mostly mild. @entity32 was mild in 28%, moderatein 57%, and severe in 15%. Activity was found in 29% of cases. @entity82 was present in all cases: 26% mild, 62% moderate, and 12% severe. Autopsy cases did not show significant changes. A simple and reproducible scoring system of @entity32 and @entity82 of the gallbladder is proposed. Three numbers refer to mild, moderate, or severe degrees of @entity32 and activity, with a final score that results from adding both values. The @entity82 is classified in three different stages. The final report uses both values to classify the chronic @entity2679 . A scoring system for chronic cholecystopathy to replace descriptive terms would give an exact transduction of the observed changes in an objective fashion that could not be misinterpreted by physicians or other pathologists.
