PMID- 33381872 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210325 IS - 1386-6346 (Print) IS - 1386-6346 (Linking) VI - 51 IP - 3 DP - 2021 Mar TI - Hepatocellular adenoma, approximately half and predominantly inflammatory subtype, in 38 Japanese patients with several differences in age, gender, and clinical background factors from Western populations. PG - 336-342 LID - 10.1111/hepr.13613 [doi] AB - AIM: Hepatocellular adenoma (HCA) has a lower prevalence in Japan than in Western countries and HCA subtypes have been reported for only a few Japanese patients. We analyzed HCA subtype data 38 patients from 23 hospitals in Japan in order to examine character and difference between Western countries. METHODS: To confirm HCA and to analyze subtypes, we performed immunohistochemical examinations. RESULTS: Thirty-eight cases were found to have HCA without cirrhosis. The male/female ratio was 18/20. Ages ranged from 15 to 79 (average, 43.2) years. Male and elder patients are not rare, furthermore, most of elder patients are male. Glycogen storage disease, past history of medicament use, hepatitis B virus surface antigen-positivity, antihepatitis C virus -positivity, diabetes mellitus, obesity, lipid metabolism disorder and alcoholism were present in of 6, 8, 1, 1, 6, 6, 4, and 6 cases, respectively. As to HCA subtypes, HNF1alpha-inactivated HCA, beta-catenin activated HCA (b-HCA), inflammatory HCA (IHCA) and unclassified HCA (U-HCA) accounted for nine (23.7%), four (10.5%), 17 (44.7%) and eight (21.1%) cases, respectively. Two cases showed coexistence of HCA and hepatocellular carcinoma (HCC) at surgery, and another had HCC which had been detected 23 years after HCA diagnosis. The HCA subtype of one of the former cases was U-HCA, while the remaining two had b-HCA and U-HCA. CONCLUSIONS: In Japanese HCA cases, the proportions of U-HCA, male and elder cases were slightly higher than in Western countries, and most of elder patients were male. IHCA was however common regardless of race, and was assumed to be the predominant subtype of HCA. CI - (c) 2020 The Japan Society of Hepatology. FAU - Izu, Asami AU - Izu A AD - Department of Pathology, Nihon University School of Medicine, Tokyo, Japan. AD - Department of Diagnostic Pathology, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan. FAU - Sugitani, Masahiko AU - Sugitani M AUID- ORCID: 0000-0001-8170-2538 AD - Department of Pathology, Nihon University School of Medicine, Tokyo, Japan. AD - Department of Diagnostic Pathology, Ageo Central General Hospital, Ageo, Saitama, Japan. FAU - Kinukawa, Noriko AU - Kinukawa N AD - Department of Pathology, Nihon University School of Medicine, Tokyo, Japan. AD - Department of Diagnostic Pathology, Ageo Central General Hospital, Ageo, Saitama, Japan. FAU - Matsumura, Hiroshi AU - Matsumura H AD - Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. FAU - Ogawa, Masahiro AU - Ogawa M AD - Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. FAU - Moriyama, Mitsuhiko AU - Moriyama M AD - Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. FAU - Yamazaki, Shintaro AU - Yamazaki S AD - Department of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan. FAU - Takayama, Tadatoshi AU - Takayama T AD - Department of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan. FAU - Hano, Hiroshi AU - Hano H AD - Department of Pathology, Jikei University School of Medicine, Tokyo, Japan. FAU - Yao, Takashi AU - Yao T AD - Department of Human Pathology, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Kanda, Hiroaki AU - Kanda H AD - Department of Pathology, The Cancer Institute of Japanese Foundation for Cancer Research, Tokyo, Japan. AD - Department of Pathology, Saitama Cancer Center, Ina, Saitama, Japan. FAU - Suzuki, Koyu AU - Suzuki K AD - Department of Pathology, Saint Luke's International Hospital, Tokyo, Japan. FAU - Hayashi, Seisyu AU - Hayashi S AD - Department of Internal Medicine, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan. FAU - Ariizumi, Syunichi AU - Ariizumi S AD - Department of Gastroenterological Surgery, Tokyo Women's Medical University, Tokyo, Japan. FAU - Yamamoto, Masakazu AU - Yamamoto M AD - Department of Gastroenterological Surgery, Tokyo Women's Medical University, Tokyo, Japan. FAU - Morishita, Yukio AU - Morishita Y AD - Diagnostic Pathology Division, Tokyo Medical University Ibaraki Medical Center, Ibaraki, Japan. FAU - Matsumoto, Koshi AU - Matsumoto K AD - Pathology Division, Ebina General Hospital, Ebina, Kanagawa, Japan. FAU - Nakamura, Naoya AU - Nakamura N AD - Department of Pathology, Tokai University School of Medicine, Isehara, Kanagawa, Japan. FAU - Nakano, Masayuki AU - Nakano M AD - Tokyo Central Pathology Laboratory, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20210222 PL - Netherlands TA - Hepatol Res JT - Hepatology research : the official journal of the Japan Society of Hepatology JID - 9711801 OTO - NOTNLM OT - WHO classification OT - epidemiology OT - hepatocellular adenoma OT - subtype EDAT- 2021/01/01 06:00 MHDA- 2021/01/01 06:01 CRDT- 2020/12/31 05:29 PHST- 2020/12/15 00:00 [revised] PHST- 2020/07/29 00:00 [received] PHST- 2020/12/16 00:00 [accepted] PHST- 2021/01/01 06:00 [pubmed] PHST- 2021/01/01 06:01 [medline] PHST- 2020/12/31 05:29 [entrez] AID - 10.1111/hepr.13613 [doi] PST - ppublish SO - Hepatol Res. 2021 Mar;51(3):336-342. doi: 10.1111/hepr.13613. Epub 2021 Feb 22.