Table 2.
Recommended histological, immunohistochemical and molecular workup of liver nodule(s) in patients with congenital portosystemic shunts.
Recommendations | |
---|---|
Recommended routine stains | Haematoxylin/eosin Reticulin stain |
Recommended immunohistochemistry | Glutamine synthetase β-catenin SAA (serum amyloid A) CRP (C-reactive protein) CD34 Glypican-3LFABP (liver-fatty acid binding protein) |
Recommended minimal molecular work-up | β-catenin activation (CTNNB1
exon3, 7/8) TERT promoter mutation |
Recommended sample size | Needle gauge should be sufficient to provide adequate diagnostic yield according to local laboratory standards. |