Assessment of Stromal Invasion for Correct Histological Diagnosis of Early Hepatocellular Carcinoma英文文献资料.docVIP

Assessment of Stromal Invasion for Correct Histological Diagnosis of Early Hepatocellular Carcinoma英文文献资料.doc

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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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