Assessment of Stromal Invasion for Correct Histological Diagnosis of Early Hepatocellular Carcinoma英文文献资料.docVIP
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Assessment of Stromal Invasion for Correct Histological Diagnosis of Early Hepatocellular Carcinoma英文文献资料
SAGE-HindawiAccesstoResearch
InternationalJournalofHepatology
Volume2011,ArticleID241652,7pages
doi:10.4061/2011/241652
ReviewArticle
AssessmentofStromalInvasionforCorrectHistological
DiagnosisofEarlyHepatocellularCarcinoma
FukuoKondo
DepartmentofPathology,SchoolofMedicine,TeikyoUniversity,2-11-1Kaga,Itabashi-ku,Tokyo173-8605,Japan
CorrespondenceshouldbeaddressedtoFukuoKondo,fkondo37@green.ocn.ne.jp
Received28February2011;Accepted10April2011
AcademicEditor:RyosukeTateishi
Copyright?2011FukuoKondo. This is an open access article distributed under the Creative Commons Attribution License,
whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.
Stromalinvasion(invasivegrowthoftumortissueintoportaltractsand?broussepta)isnowrecognizedasthemostimportant
?nding in the diagnosis of the well-di?erentiated type of early hepatocellular carcinomas (HCCs). In di?erentiating stromal
invasionfrompseudoinvasion(benignhepatictissuein?brousstroma),thefollowing5itemsareuseful:(1)macroscopicor
panoramicviewsofthehistologicalspecimen,(2)theamountof?brouscomponentsofstroma,(3)destructionofthestructure
ofportaltracts,(4)lossofreticulin?bersaroundcancercells,and(5)cytokeratin7immunostainingforductularproliferation.
Knowledgeofstromalinvasionisalsousefulforabetterunderstandingofthevasculature(hypovascularHCCs)andhistological
features(fattychange)ofearlyHCCs.Invasionofpreexistingarteriesandportalveinscauseshypo-vascularityofHCCs.Further,
hypovascularitycausesfattychangeasahypoxicchangeofcancertissues.
1.Introduction
?brous septa, portal tracts, and/or blood vessels [2–7].
Stromal invasion by other tumors of other organs is a
commonlyrecognizedconcept,andhaslongbeenimportant
evidenceforthede?nitivediagnosisofmalignanttumor[8,
9].However,stromalinvasionofHCChasnotbeengenerally
known until quite recently. This ?nding was ?rst reported
asa“streakpattern”inthe?brousseptaofcirrhosisaround
anHCCnodulebyKondoY.etal.[2].KondoF.etal.then
reportedt
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