Basophilic foci predominantly stain with hematoxylin (Figure 1, arrows; Figure 2). A tigroid variant has been identified in rats but is considered a subclassification of basophilic focus. Eosinophilic foci typically stain more eosinophilic than surrounding hepatocytes and often consist of hepatocytes that are larger than the adjacent normal parenchyma (Figure 3, arrows; Figure 4). Clear cell foci have empty spaces in hepatocyte cytoplasm surrounding centrally localized nuclei. The clear spaces represent glycogen dissolved out during fixation and processing. Clear cell foci are readily identified because they stand out against surrounding parenchyma that has a more uniformly eosinophilic cytoplasm (Figure 5 and Figure 6). Some texts discuss vacuolated cell foci, but these are now diagnosed as focal fatty change and are not considered foci. Mixed cell focus is diagnosed when there is no single predominant phenotype. Figure 7 and Figure 8 represent a mixed cell focus composed of clear cells, vacuolated cells, and amphophilic cells with no single cell type constituting more than 80% of the focus cells. Figure 9 and Figure 10 present a mixed focus composed of an outer rim of basophilic cells surrounding an inner core of clear cells, each comprising an equal proportion of the cell types present.
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