Table 2 Scheuer classification for grading and staging of chronic hepatitis

From: Liver biopsy assessment in chronic viral hepatitis: a personal, practical approach

Grade

Portal/periportal activity

Lobular activity

0

None

None

1

Portal inflammation

Inflammation but no necrosis

2

Mild piecemeal necrosis

Focal necrosis or acidophil bodies

3

Moderate piecemeal necrosis

Severe focal cell damage

4

Severe piecemeal necrosis

Damage includes bridging necrosis

Stage

Fibrosis

 

0

None

 

1

Enlarged, fibrotic portal tracts

 

2

Periportal or portal-portal septa, but intact architecture

 

3

Fibrosis with architectural distortion, but no obvious cirrhosis

 

4

Probable or definite cirrhosis