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. 2021 May 28;22(11):5780. doi: 10.3390/ijms22115780

Table 2.

Molecular findings, histological features, and immunohistochemical findings of FNH and HCA.

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.