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How to improve the histopathological diagnosis of hepatocellular carcinoma in daily practice?


Authors: E. Honsová;  A. Lodererová
Authors‘ workplace: Pracoviště klinické a transplantační patologie, Transplantcentrum IKEM, Praha
Published in: Čes.-slov. Patol., 47, 2011, No. 2, p. 40-43
Category: Reviews Article

Overview

Hepatocellular carcinoma (HCC) is one of the most common cancers in the world with an increasing incidence. Recently, an East-West consensus on the histopathologic criteria for the diagnosis of high-grade dysplastic nodules and early hepatocellular carcinoma was published. In addition to classical morphological criteria such as nucleocytoplasmic ratio, thickness of cell plates, mitotic index, and architectural disturbance, a new one – the stromal invasion – was recognized as a crucial criterion for the diagnosis of early HCC. Immunohistochemical detection of glypican-3 was shown as a specific marker for HCC that can be used to distinguish between the benign hepatocellular lesions and HCC.

Keywords:
early hepatocellular carcinoma – histopathology – glypican-3 – stromal invasion


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Labels
Anatomical pathology Forensic medical examiner Toxicology
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