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. 2014 Dec 11;1(4):421–431. doi: 10.2217/hep.14.14

Table 3. . Findings at the microscope.

β-HCA/β-IHCA Strong/diffuse (or patchy) GS-positive immunostaining and aberrant expression of β-catenin (can be very focal or absent)

Clinical background HCC in a context strongly suggestive of HCA

Cellular and architectural atypia Few foci of anisocaryosis or of smaller hepatocytes, thicker hepatocytic plates, decreased reticulin network, some pseudogland formations, cholestasis. Do not forget pitfall: vicinity of bleeding!

Borderline HCA Well-differentiated hepatocellular neoplasm: several foci of either atypia, rosettes, loss of reticulin, increased CD34 … but insufficient for a straightforward diagnosis of HCC

HCC within HCA One focus or several foci of HCC within an HCA, or rim of HCA surrounding HCC

GS: Glutamine synthetase; HCA: Hepatocellular adenoma; HCC: Hepatocellular carcinoma; IHCA: Inflammatory hepatocellular adenoma.