Interest of immunohistochemistry for the diagnosis of benign hepatocellular tumors

被引:3
|
作者
Bioulac-Sage, Paulette [1 ,2 ]
Balabaud, Charles [2 ,3 ]
Zucman-Rossi, Jessica [4 ]
机构
[1] CHU Bordeaux, Hop Pellegrin, Serv Pathol, F-33076 Bordeaux, France
[2] Univ Bordeaux 2, Grp Rech Etud Foie, INSERM, U889, F-33076 Bordeaux, France
[3] Hop St Andre, Serv Hepatol, F-33075 Bordeaux, France
[4] INSERM, U674, F-75010 Paris, France
关键词
Focal nodular hyperplasia; Hepatocellular adenoma; Immunohistochemistry; Glutamine synthetase; beta-catenin; LFABP; C reactive protein; Serum amyloid A; FOCAL NODULAR HYPERPLASIA; LIVER ADENOMATOSIS; HEPATIC ADENOMAS; INACTIVATION; CLASSIFICATION; IDENTIFICATION; ACTIVATION; EXPRESSION; MANAGEMENT; MUTATIONS;
D O I
10.1016/j.annpat.2010.10.005
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
In this review, we focus on the interest of immunohistochemistry first, to differentiate the two types of benign hepatocellular nodules: focal nodular hyperplasia (FNH) and hepatocellular adenoma (HCA) and second, to recognize the different subtypes of HCA: HNF1 alpha inactivated HCA, beta-catenin activated HCA and inflammatory HCA. This pathomolecular classication followed the study of genotype/phenotype correlations which led to the identification of immunohistochemical data characteristic of each subgroup. Immunohistochemical characteristics described on resected specimen are suitable on biopies of these tumors, facilitating their diagnosis and therefore allowing a better management of the patients. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:439 / 447
页数:9
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