PMID- 25260568 OWN - NLM STAT- MEDLINE DCOM- 20160126 LR - 20150406 IS - 2210-741X (Electronic) IS - 2210-7401 (Linking) VI - 39 IP - 2 DP - 2015 Apr TI - Steatotic hepatocellular adenomas with different phenotypic subtypes: a case report. PG - e17-22 LID - S2210-7401(14)00209-5 [pii] LID - 10.1016/j.clinre.2014.08.007 [doi] AB - Hepatocellular adenomas (HCAs) are heterogeneous group of benign tumors; three pathomolecular subtypes have been identified so far: hepatocyte nuclear factor 1 alpha-inactivated HCA (H-HCA) (35-40%), inflammatory HCA (I-HCA) (>50%), beta-catenin activated HCA (10%). Ten percent of I-HCA are also beta-catenin activated. We report a rare case of three histologically confirmed steatotic HCAs of three different phenotypes: I-HCA, beta-catenin activated I-HCA, and H-HCA in a 36-year-old woman. This observation outlines that in the same patient, HCA may be of different subtypes. The predisposition to develop different HCA hypothetically caused by a "benign tumorigenic field effect" may result, even rarely, in different genotypes/phenotypes such as H-HCA and I-HCA. Moreover, we illustrate the very high specificity of MR for subtyping HCA. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Alberti, N AU - Alberti N AD - Department of Radiology, hopital St-Andre, CHU de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France. Electronic address: nicoalbertibdx@gmail.com. FAU - Castain, C AU - Castain C AD - Department of Pathology, hopital Pellegrin, CHU de Bordeaux, place Amelie-Raba-Leon, 33000 Bordeaux, France. FAU - Crombe, A AU - Crombe A AD - Department of Radiology, hopital St-Andre, CHU de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France. FAU - Frulio, N AU - Frulio N AD - Department of Radiology, hopital St-Andre, CHU de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France. LA - eng PT - Case Reports PT - Journal Article DEP - 20140926 PL - France TA - Clin Res Hepatol Gastroenterol JT - Clinics and research in hepatology and gastroenterology JID - 101553659 SB - IM MH - Adenoma, Liver Cell/complications/*genetics MH - Adult MH - Fatty Liver/complications MH - Female MH - Humans MH - Liver Neoplasms/complications/*genetics EDAT- 2014/09/28 06:00 MHDA- 2016/01/27 06:00 CRDT- 2014/09/28 06:00 PHST- 2014/05/20 00:00 [received] PHST- 2014/07/18 00:00 [revised] PHST- 2014/08/18 00:00 [accepted] PHST- 2014/09/28 06:00 [entrez] PHST- 2014/09/28 06:00 [pubmed] PHST- 2016/01/27 06:00 [medline] AID - S2210-7401(14)00209-5 [pii] AID - 10.1016/j.clinre.2014.08.007 [doi] PST - ppublish SO - Clin Res Hepatol Gastroenterol. 2015 Apr;39(2):e17-22. doi: 10.1016/j.clinre.2014.08.007. Epub 2014 Sep 26.