Pediatric Liver Transplant Pathology: An Update and Practical Consideration.

Journal: Surgical pathology clinics
Published Date:

Abstract

This review provides a summary of the diagnostic approach to pediatric liver transplantation (LT) pathology. It emphasizes the pathologic features of T-cell-mediated rejection, the most common finding on liver allograft biopsies, and discusses other forms of rejection, including the less frequent antibody-mediated rejection. The article incorporates insights from the recently published Banff 2022 Liver Group Meeting Report. Additionally, it covers other complications such as biliary and vascular issues, infections, and disease recurrence. Finally, the review summarizes the potential applications of novel technologies, including next-generation pathology and artificial intelligence, in the context of pediatric LT pathology.

Authors

  • Ameet I Thaker
    Department of Pathology, Children's Healthcare of Atlanta, Pathology Administration, 1001 Johnson Ferry Road Northeast, Atlanta, GA 30342, USA.
  • Juan Putra
    Department of Pathology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. Electronic address: Juan.Putra@Childrens.Harvard.edu.