Table 2.
Item | FNH | H-HCA | IHCA | b-HCA |
---|---|---|---|---|
Molecular findings | Activation of the β-catenin pathway without mutations of CTNNB1 | Biallelic mutations of HNF1A | Activation of the IL-6 signaling pathway due to mutations in IL6ST, FRK, STAT3, GNAS, and JAK1 | Activation of the WNT signaling pathway due to mutation or deletion of CTNNB1 |
Histological features | Thick fibrous septa with or without a central scar, abnormal blood vessels, and ductular reaction | Prominent steatosis | Sinusoidal dilation, patchy inflammatory cell infiltration, and variable steatosis | Cellular and structural atypia and pseudoglands |
Immunohistochemical findings | ||||
LFABP | (+) | (−) | (+) | (+) |
β-catenin | Membranous | Membranous | Membranous | Nuclear |
GS | Map-like | Patchy with perivascular accentuation | Patchy with perivascular accentuation | Diffuse homogenous or heterogenous staining depending on the mutation type |
SAA/CRP | Usually (−) | (−) | Strong and diffuse | (−) |
OATP1B3 | (+) | (−) | (−) | (+) |
b-HCA, β-catenin-activated HCA; CRP, C-reactive protein; FNH, focal nodular hyperplasia; GS, glutamine synthetase; HCA, hepatocellular adenoma; H-HCA, HNF1A-inactivated HCA; IHCA, inflammatory HCA; IL, interleukin; LFABP, liver fatty acid-binding protein; OATP, organic anion-transporting polypeptide; SAA, serum amyloid A; (+), positive; (−), negative.