Hepatocellular carcinoma associated with focal nodular hyperplasia : Report of a case with clonal analysis

We describe a hepatocellular carcinoma partially surrounded by focal nodular hyperplasia in a 65-year-old female patient. In order to clarify the relationship of the hepatocellular carcinoma and the adjacent focal nodular hyperplasia, clonal analysis was conducted. The clonal analysis was based on t...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2001-04, Vol.438 (4), p.408-411
Hauptverfasser: CHEN, Tse-Ching, CHOU, Tze-Bin, NG, Kwai-Fong, HSIEH, Ling-Ling, CHOU, Yah-Huei Wu
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container_issue 4
container_start_page 408
container_title Virchows Archiv : an international journal of pathology
container_volume 438
creator CHEN, Tse-Ching
CHOU, Tze-Bin
NG, Kwai-Fong
HSIEH, Ling-Ling
CHOU, Yah-Huei Wu
description We describe a hepatocellular carcinoma partially surrounded by focal nodular hyperplasia in a 65-year-old female patient. In order to clarify the relationship of the hepatocellular carcinoma and the adjacent focal nodular hyperplasia, clonal analysis was conducted. The clonal analysis was based on the methylation pattern of the polymorphic X-chromosome-linked androgen receptor gene (HUMARA). The allelic bands from the amplification of the focal nodular hyperplasia and of the hepatocellular carcinoma showed a significant reduction in the intensity of one of the two alleles as compared with two alleles of equal intensity in the buff coat after HhaI digestion, which indicated that these two parts were monoclonal. However, the inactivated allele in the focal nodular hyperplasia and that in the hepatocellular carcinoma were not identical. Therefore, the focal nodular hyperplasia and hepatocellular carcinoma probably derived from the clonal expansion of two different clones.
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In order to clarify the relationship of the hepatocellular carcinoma and the adjacent focal nodular hyperplasia, clonal analysis was conducted. The clonal analysis was based on the methylation pattern of the polymorphic X-chromosome-linked androgen receptor gene (HUMARA). The allelic bands from the amplification of the focal nodular hyperplasia and of the hepatocellular carcinoma showed a significant reduction in the intensity of one of the two alleles as compared with two alleles of equal intensity in the buff coat after HhaI digestion, which indicated that these two parts were monoclonal. However, the inactivated allele in the focal nodular hyperplasia and that in the hepatocellular carcinoma were not identical. 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In order to clarify the relationship of the hepatocellular carcinoma and the adjacent focal nodular hyperplasia, clonal analysis was conducted. The clonal analysis was based on the methylation pattern of the polymorphic X-chromosome-linked androgen receptor gene (HUMARA). The allelic bands from the amplification of the focal nodular hyperplasia and of the hepatocellular carcinoma showed a significant reduction in the intensity of one of the two alleles as compared with two alleles of equal intensity in the buff coat after HhaI digestion, which indicated that these two parts were monoclonal. However, the inactivated allele in the focal nodular hyperplasia and that in the hepatocellular carcinoma were not identical. Therefore, the focal nodular hyperplasia and hepatocellular carcinoma probably derived from the clonal expansion of two different clones.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11355178</pmid><doi>10.1007/s004280000348</doi><tpages>4</tpages></addata></record>
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subjects Aged
Biological and medical sciences
Carcinoma, Hepatocellular - complications
Carcinoma, Hepatocellular - genetics
Carcinoma, Hepatocellular - metabolism
Carcinoma, Hepatocellular - pathology
Clone Cells - metabolism
DNA Primers - chemistry
DNA, Neoplasm - analysis
Female
Focal Nodular Hyperplasia - complications
Focal Nodular Hyperplasia - genetics
Focal Nodular Hyperplasia - metabolism
Focal Nodular Hyperplasia - pathology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver Neoplasms - complications
Liver Neoplasms - genetics
Liver Neoplasms - metabolism
Liver Neoplasms - pathology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Polymerase Chain Reaction
Receptors, Androgen - metabolism
Tropical medicine
Tumors
title Hepatocellular carcinoma associated with focal nodular hyperplasia : Report of a case with clonal analysis
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