PMID- 23664829 OWN - NLM STAT- MEDLINE DCOM- 20140424 LR - 20130614 IS - 0210-5705 (Print) IS - 0210-5705 (Linking) VI - 36 IP - 6 DP - 2013 Jun-Jul TI - [Immunophenotypic classification of 3 cases of hepatocellular adenoma. Differential diagnosis with focal nodular hyperplasia]. PG - 388-95 LID - S0210-5705(13)00122-2 [pii] LID - 10.1016/j.gastrohep.2013.02.013 [doi] AB - Interest in adenomas has been renewed by the discovery of the molecular changes in these tumors. The latest World Health Organization publication on gastrointestinal tract tumors (2010) includes four types of hepatic adenomas, which are well characterized immunohistochemically, genotypically and phenotypically. In these tumors, medical history and morphological behavior play an important role in determining the risk of malignancy, mainly in adenomas with a b-catenin mutation. The presence of steatosis, inflammation, vascular changes linked to response to L-FABP, serum amyloid A, and glutamyl synthetase help to classify these tumors into four groups: hepatocellular adenomas with the HNF1A mutation (H-HCA), those with the b-catenin mutation (b-HCA), inflammatory HCA (IHCA), and HCA without markers. The absence of glypican 3 expression, HSP 70 and perivenular mapping of glutamyl synthetase helps to distinguish these tumors from well differentiated hepatocellular carcinoma. We describe the clinical, morphological and immunophenotypic features of three patients diagnosed with hepatic adenomas in a 2-year period. CI - Copyright (c) 2012 Elsevier Espana, S.L. and AEEH y AEG. All rights reserved. FAU - Perez Rojas, Judith AU - Perez Rojas J AD - Servicio de Anatomia Patologica, Hospital Universitario La Fe, Valencia, Espana. judithpr@terra.es FAU - Guarin Corredor, Maria Juliana AU - Guarin Corredor MJ FAU - Artes Martinez, Maria Josefa AU - Artes Martinez MJ FAU - Vera Sempere, Francisco Jose AU - Vera Sempere FJ FAU - Brisa Estelles, Carmen AU - Brisa Estelles C FAU - Huart Peris, Maria Carmen AU - Huart Peris MC FAU - Hernandez Giron, Soraya AU - Hernandez Giron S LA - spa PT - Case Reports PT - English Abstract PT - Journal Article TT - Clasificacion inmunofenotipica de 3 casos de adenomas hepatocelulares. Diagnostico diferencial con hiperplasia nodular focal. DEP - 20130510 PL - Spain TA - Gastroenterol Hepatol JT - Gastroenterologia y hepatologia JID - 8406671 SB - IM MH - Adenoma, Liver Cell/*classification/*diagnosis/immunology MH - Adult MH - Diagnosis, Differential MH - Female MH - Focal Nodular Hyperplasia/*diagnosis MH - Humans MH - Immunophenotyping MH - Liver Neoplasms/*classification/*diagnosis/immunology MH - Male MH - Middle Aged MH - Young Adult EDAT- 2013/05/15 06:00 MHDA- 2014/04/25 06:00 CRDT- 2013/05/14 06:00 PHST- 2012/10/29 00:00 [received] PHST- 2013/01/14 00:00 [revised] PHST- 2013/02/05 00:00 [accepted] PHST- 2013/05/14 06:00 [entrez] PHST- 2013/05/15 06:00 [pubmed] PHST- 2014/04/25 06:00 [medline] AID - S0210-5705(13)00122-2 [pii] AID - 10.1016/j.gastrohep.2013.02.013 [doi] PST - ppublish SO - Gastroenterol Hepatol. 2013 Jun-Jul;36(6):388-95. doi: 10.1016/j.gastrohep.2013.02.013. Epub 2013 May 10.