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 |