4,635 results match your criteria Hepatic Adenoma


Intra-abdominal bleeding as a rare complication after colonic endoscopic mucosal resection in a patient taking direct oral anticoagulants.

Clin J Gastroenterol 2020 Jul 9. Epub 2020 Jul 9.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, St Marianna University School of Medicine, Sugao Street 2-16-1, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan.

We describe the case of an 84-year old female who was taking rivaroxaban 30 mg/day and had a medical history of atrial fibrillation. She underwent endoscopic mucosal resection of a 5-mm adenoma located in the hepatic flexure of the transverse colon. Following the procedure, she developed gradually intensifying abdominal pain, with the appearance of small amount of blood in the feces. Read More

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http://dx.doi.org/10.1007/s12328-020-01181-wDOI Listing

Malignant transformation of hepatocellular adenoma: report of a case.

Pan Afr Med J 2020 26;35:92. Epub 2020 Mar 26.

Pathology Department, Mohamed VI University Hospital, Oujda, Morocco.

Hepatocellular adenomas are benign liver tumours that occur mainly but not exclusively in young women taking contraceptives. Their malignant transformation into hepatocellular carcinoma is a rare complication that has been rarely reported in women taking contraceptives. The purpose of our work is to remind the epidemiological and diagnostic features of malignant transformation of hepatic adenomas by reporting the case of a hepatocellular carcinoma developed from a hepatocellular adenoma diagnosed within the Pathology Department of the Mohammed VI university hospital of Oujda. Read More

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http://dx.doi.org/10.11604/pamj.2020.35.92.17416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320764PMC

Benign Neoplasms, Mass-Like Infections, and Pseudotumors That Mimic Hepatic Malignancy at MRI.

J Magn Reson Imaging 2020 Jul 4. Epub 2020 Jul 4.

Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital, Women's College Hospital, and University of Toronto, Toronto, Ontario, Canada.

A variety of conditions may mimic hepatic malignancy at MRI. These include benign hepatic tumors and tumor-like entities such as focal nodular hyperplasia-like lesions, hepatocellular adenoma, hepatic infections, inflammatory pseudotumor, vascular entities, and in the cirrhotic liver, confluent fibrosis, and hypertrophic pseudomass. These conditions demonstrate MRI features that overlap with hepatic malignancy, and can be challenging for radiologists to diagnose accurately. Read More

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http://dx.doi.org/10.1002/jmri.27251DOI Listing

Circulating exosomal microRNA as potential biomarkers of hepatic injury and inflammation inGlycogen storage disease type 1a.

Dis Model Mech 2020 Jul 3. Epub 2020 Jul 3.

Laboratory of MolecularBiology, IRCCS Istituto Giannina Gaslini, Via G. Gaslini 5, 16147 Genova, Italy

Most patients affected by Glycogen storage disease type 1a (GSD-1a), an inherited metabolic disorder caused by mutations in the enzyme glucose-6-phosphatase-alpha (G6Pase-α), develop renal and liver complications, including development of hepatocellular adenoma/carcinoma. The purpose of this study was to identify potential biomarkers of the pathophysiology of the GSD1a affected liver. To this end, we utilized the plasma exosomes of a murine model of GSD-1a, LS-G6pc mice, to uncover microRNA expression modulation associated with the disease. Read More

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http://dx.doi.org/10.1242/dmm.043364DOI Listing

Focal Nodular Hyperplasia and Hepatic Adenoma: Evaluation and Management.

Clin Liver Dis 2020 Aug 3;24(3):389-403. Epub 2020 Jun 3.

Division of Gastroenterology and Hepatology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, MNP 4112, Portland, OR 97239, USA.

Focal nodular hyperplasia and hepatocellular adenoma are benign liver lesions that occur most frequently in women and may be found as incidental findings on imaging. hepatocellular adenomas may be infrequently associated with malignant progression or risk of rupture and as such, require surveillance or definitive treatments based on their size threshold. It is important clinically to differentiate these lesions, and utilizing imaging modalities such as contrast enhanced ultrasound or magnetic resonance imaging can be helpful in diagnosis. Read More

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http://dx.doi.org/10.1016/j.cld.2020.04.013DOI Listing

Downregulation of low-density lipoprotein receptor class A domain-containing protein 4 (Ldlrad4) in the liver of rats treated with nongenotoxic hepatocarcinogen to induce transforming growth factor β signaling promoting cell proliferation and suppressing apoptosis in early hepatocarcinogenesis.

J Appl Toxicol 2020 Jun 28. Epub 2020 Jun 28.

Laboratory of Veterinary Pathology, Tokyo University of Agriculture and Technology, Tokyo, Japan.

We previously found downregulation of low-density lipoprotein receptor class A domain-containing protein 4 (LDLRAD4), a negative regulator of transforming growth factor (TGF)-β signaling, in glutathione S-transferase placental form (GST-P) expressing ( ) pre-neoplastic lesions produced by treatment with nongenotoxic hepatocarcinogens for up to 90 days in rats. Here, we investigated the relationship between LDLRAD4 downregulation and TGFβ signaling in nongenotoxic hepatocarcinogenesis. The transcripts of Tgfb and Hb-egf increased after ≥28 days of treatment. Read More

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http://dx.doi.org/10.1002/jat.3998DOI Listing

Ki-67 "hot spot" digital analysis is useful in the distinction of hepatic adenomas and well-differentiated hepatocellular carcinomas.

Virchows Arch 2020 Jun 25. Epub 2020 Jun 25.

Department of Laboratory Medicine and Pathology, Division of Anatomic Pathology, Mayo Clinic, Rochester, MN, USA.

This study aims to investigate the utility of digital protocols for Ki-67 immunohistochemistry quantitative analysis ("hot spot" method) in the setting of well-differentiated hepatocellular neoplasms. Resection cases of typical hepatic adenomas (HAs) (n = 40), atypical HAs (n = 9), and well-differentiated hepatocellular carcinomas (WD HCCs) (n = 56) were selected. HAs were further classified by immunohistochemistry using antibodies against liver fatty acid binding protein, glutamine synthetase, B-catenin, hepatic serum amyloid A, and C-reactive protein. Read More

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http://dx.doi.org/10.1007/s00428-020-02868-8DOI Listing

A Shifting Paradigm in Diagnosis and Management of Hepatic Adenoma.

Ann Surg Oncol 2020 Jun 15. Epub 2020 Jun 15.

Division of Surgical Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Background: New insights into molecular pathogenesis of hepatocellular adenomas (HCA) have allowed sub-classification based on distinct genetic alterations and a fresh look at characterizations of natural history. Clinically, this is important in understanding risk factors for two feared complications: malignant transformation and hemorrhage.

Methods: PubMed literature search for hepatocellular adenoma over all years, excluding case reports and articles focusing on multiple adenomas or adenomatosis. Read More

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http://dx.doi.org/10.1245/s10434-020-08580-wDOI Listing

Hepatic adrenal adenoma-rare tumor on right lobe of liver: a case report and literature review.

Authors:
Haibo Yu Yadong He

BMC Surg 2020 Jun 10;20(1):128. Epub 2020 Jun 10.

Department of Hepatobiliary Surgery, Wenzhou Central Hospital, The Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China, 325000.

Background: Hepatic adrenal ectopia is a common clinical diagnosis, whereas adrenal tumors developed from hepatic adrenal ectopia are rare. Hepatic adrenal tumors are easily misdiagnosed as hepatic carcinoma and frequently treated by unnecessary operations.

Case Presentation: A 50-year-old female patient was hospitalized due to B-ultrasonic detection of "right focal liver lesions. Read More

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http://dx.doi.org/10.1186/s12893-020-00780-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288671PMC

Primary hepatic neuroendocrine tumor: A case report and literature review.

Int J Surg Case Rep 2020 May 30;72:1-4. Epub 2020 May 30.

Department of Surgery, Federal University of Pernambuco, Recife, PE, Brazil. Electronic address:

Introduction: Primary hepatic neuroendocrine tumors (PHNETs) are extremely rare, having less than 200 cases reported in the literature.

Presentation Of Case: A 51-year-old woman presenting with mild intensity sharp pain in the upper abdomen that started 4 years ago. Preoperative Magnetic Resonance Imaging (MRI) suggested hepatocellular adenoma. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276381PMC

Exercise Attenuates the Transition from Fatty Liver to Steatohepatitis and Reduces Tumor Formation in Mice.

Cancers (Basel) 2020 May 29;12(6). Epub 2020 May 29.

Hepatology, Department for BioMedical Research, University of Bern, Bern 3008, Switzerland.

Non-alcoholic fatty liver disease (NAFLD) leads to steatohepatitis (NASH), fibrosis, and hepatocellular carcinoma. For sedentary patients, lifestyle interventions combining exercise and dietary changes are a cornerstone of treatment. However, the benefit of exercise alone when dietary changes have failed is uncertain. Read More

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http://dx.doi.org/10.3390/cancers12061407DOI Listing

Hepatocellular adenoma in the paediatric population: Molecular classification and clinical associations.

World J Gastroenterol 2020 May;26(19):2294-2304

Division of Pathology, Department of Paediatric Laboratory Medicine, the Hospital for Sick Children, Toronto M5G 1X8, ON, Canada.

Hepatocellular adenomas (HCAs) represent rare, benign liver tumours occurring predominantly in females taking oral contraceptives. In children, HCAs comprise less than 5% of hepatic tumours and demonstrate association with various conditions. The contemporary classification of HCAs, based on their distinctive genotypes and clinical phenotypes, includes -inactivated HCAs, -mutated HCAs, inflammatory HCAs, combined -mutated and inflammatory HCAs, sonic hedgehog-activated HCAs, and unclassified HCAs. Read More

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http://dx.doi.org/10.3748/wjg.v26.i19.2294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243640PMC
May 2020
2.369 Impact Factor

Emerging roles of autophagy in hepatic tumorigenesis and therapeutic strategies in glycogen storage disease type Ia: A review.

J Inherit Metab Dis 2020 May 31. Epub 2020 May 31.

Glycogen Storage Disease Program, Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

Glycogen storage disease type Ia (GSD-Ia) is an inherited metabolic disease caused by a deficiency in glucose-6-phosphatase-α (G6Pase-α or G6PC) which plays a critical role in blood glucose homeostasis by catalyzing the hydrolysis of glucose-6-phosphate (G6P) to glucose and phosphate in the terminal step of glycogenolysis and gluconeogenesis. Patients with GSD-Ia manifest life-threatening fasting hypoglycemia along with the excessive accumulation of hepatic glycogen and triglycerides which results in hepatomegaly and a risk of long-term complications such as hepatocellular adenoma and carcinoma (HCA/HCC). The etiology of HCA/HCC development in GSD-Ia, however, is unknown. Read More

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http://dx.doi.org/10.1002/jimd.12267DOI Listing
May 2020
3.365 Impact Factor

Benign Hepatic Tumors: From Incidental Imaging Finding to Clinical Management.

Korean J Fam Med 2020 May 27. Epub 2020 May 27.

Gastroenterology and Hepatology Institute, Hillel Yaffe Medical Center, Hadera, Israel.

Benign hepatic tumors (BHTs) are commonly detected as incidental finding mainly due to the frequent utilization of imaging modalities, including ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). Rigorous clinical evaluation, with a particular focus on chronic liver disease (CLD) or risk factors for CLD, medication history, physical examination for signs of CLD, blood tests, and a review of past liver radiology constitute the initial steps in the evaluation of a new liver lesion. Further, contrast-enhanced imaging using US, CT and MRI, can be used depending on the clinical scenario and their availability. Read More

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http://dx.doi.org/10.4082/kjfm.18.0188DOI Listing

A systematic review on the complications and management of hepatic adenomas: a call for a new approach.

Eur J Gastroenterol Hepatol 2020 May 19. Epub 2020 May 19.

Department of Gastroenterology, Eastern Health.

Hepatic adenomas are benign hepatic lesions with heterogeneous characteristics. Awareness of complications, including haemorrhage and malignant transformation, has improved alongside a concurrent rise in their detection. Monitoring and management guidelines, however, remain inconsistent. Read More

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http://dx.doi.org/10.1097/MEG.0000000000001766DOI Listing

Gene therapy using a novel G6PC-S298C variant enhances the long-term efficacy for treating glycogen storage disease type Ia.

Biochem Biophys Res Commun 2020 Jun 16;527(3):824-830. Epub 2020 May 16.

Section on Cellular Differentiation, Division of Translational Medicine, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA. Electronic address:

The current phase I/II clinical trial for human glycogen storage disease type-Ia (GSD-Ia) (NCT03517085) uses a recombinant adeno-associated virus (rAAV) vector expressing a codon-optimized human glucose-6-phosphatase-α (G6Pase-α or G6PC). DNA sequence changes introduced by codon-optimization can negatively impact gene expression. We therefore generated a novel variant in which a single amino acid change, S298C, is introduced into the native human G6PC sequence. Read More

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http://dx.doi.org/10.1016/j.bbrc.2020.04.124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309276PMC

Altered expression of fibroblast activation protein-α (FAP) in colorectal adenoma-carcinoma sequence and in lymph node and liver metastases.

Aging (Albany NY) 2020 May 19;12(11):10337-10358. Epub 2020 May 19.

BioCruces Health Research Institute, Barakaldo, Spain.

Colorectal cancer (CRC) is a major health problem in elderly people because of its high incidence and high mortality rate. Despite early screening programs, more than half of CRC patients are diagnosed at advanced stages. Fibroblast activation protein-α (FAP) expression in cancer-associated fibroblasts (CAFs) has been associated with a higher risk of metastases and poor survival. Read More

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http://dx.doi.org/10.18632/aging.103261DOI Listing

Two cases of benign hepatic nodules caused by sinusoidal dilatation with different hemodynamics.

Clin J Gastroenterol 2020 May 16. Epub 2020 May 16.

Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga, 520-2192, Japan.

We describe two cases of benign nodules caused by sinusoidal dilatation with different hemodynamic statuses. Case 1 was a 50-year-old woman with a 1-cm nodule that showed a low density in the arterial phase of computed tomography. Pathologically, there were no atypical cells with sinusoidal dilatation, and immunostaining was negative for CD34. Read More

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http://dx.doi.org/10.1007/s12328-020-01129-0DOI Listing

Over 20-Year Follow-up of Patients with Hepatic Glycogen Storage Diseases: Single-Center Experience.

Diagnostics (Basel) 2020 May 13;10(5). Epub 2020 May 13.

Department of Pediatrics, Nutrition and Metabolic Diseases, Children's Memorial Health Institute, 04-730 Warsaw, Poland.

Background: The published data on the long-term outcomes of glycogen storage disease (GSD) patients is sparse in the literature. The aim of this study was to analyze the long-term (over 20 years) follow-up of patients with hepatic types of GSD-I, III, VI, and IX-from childhood to adulthood, managed by one referral center.

Patients And Methods: Thirty adult patients with hepatic GSD were included in the study. Read More

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http://dx.doi.org/10.3390/diagnostics10050297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277974PMC

Echinococcus multilocularis: Diagnostic problem in a liver core biopsy.

Cesk Patol 2020 ;56(1):32-34

Echinococcus multilocularis causes an aggressive form of hydatidosis whose histomorphological picture is generally not well recognized. We report a case of 39-year-old women presenting with poorly circumscribed nodules in the right hepatic lobe. Owing to the clinical suspicion of focal nodular hyperplasia and hepatocellular adenoma, a core biopsy was performed. Read More

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January 2020

Hepatic nodules with arterial phase hyperenhancement and washout on enhanced computed tomography/magnetic resonance imaging: how to avoid pitfalls.

Abdom Radiol (NY) 2020 May 6. Epub 2020 May 6.

Department of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2, Guangzhou, 510080, China.

This essay aimed to illustrate the various hepatic nodules that may exhibit arterial phase hyperenhancement and washout on computed tomography/magnetic resonance imaging (CT/MRI). Hepatic nodules with arterial phase hyperenhancement and washout on CT/MRI include hepatocellular carcinoma, focal nodular hyperplasia-like nodules, serum amyloid A-positive hepatocellular neoplasms, intrahepatic cholangiocarcinoma, intrahepatic bile duct adenoma, hepatoblastoma, hepatocellular adenoma, hepatic epithelioid angiomyolipoma, and metastasis including neuroendocrine and gastrointestinal stromal tumors. Understanding the imaging findings is important to ensure correct diagnosis. Read More

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http://dx.doi.org/10.1007/s00261-020-02560-0DOI Listing

Limited added value of contrast-enhanced ultrasound over B-mode for the subtyping of hepatocellular adenomas.

Eur J Radiol 2020 Jul 25;128:109027. Epub 2020 Apr 25.

Assistance Publique - Hôpitaux de Paris, Hôpitaux Universitaires Paris Nord Val de Seine, Hôpital Beaujon, Clichy, France; Université de Paris, Faculté de Médecine, Paris, France; INSERM U1149, Centre de Recherche de l'Inflammation (CRI), Paris, France. Electronic address:

Purpose: To compare the features of hepatocellular adenoma subtypes (HCAs) in B-mode and contrast-enhanced ultrasound (CEUS).

Method: Thirty-three patients (31 women [94 %] and two men [6%], median age [Q1-Q3] 43.5 years old [35-51]) with 44 pathologically proven and subtyped HCAs (including 29 inflammatory HCAs [I-HCA] and 15 HNF1-α inactivated HCAs [H-HCA]) who underwent CEUS were included. Read More

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http://dx.doi.org/10.1016/j.ejrad.2020.109027DOI Listing

Hepatocellular carcinoma with glycogen storage disease type 1a.

Pediatr Int 2020 Jun 24;62(6):744-745. Epub 2020 Apr 24.

Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

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http://dx.doi.org/10.1111/ped.14202DOI Listing

Genotoxic Effects of Aluminum Chloride and Their Relationship with N-Nitroso-N-Methylurea (NMU)-Induced Breast Cancer in Sprague Dawley Rats.

Toxics 2020 Apr 20;8(2). Epub 2020 Apr 20.

Programa de Doctorado en Ciencias Químico Biológicas y de la Salud, Universidad de Sonora, 83000 Hermosillo, Sonora, Mexico.

Recently, soluble forms of aluminum for human use or consumption have been determined to be potentially toxic due to their association with hepatic, neurological, hematological, neoplastic, and bone conditions. This study aims to assess the genotoxic effect of aluminum chloride on genomic instability associated with the onset of N-nitroso-N-methylurea (NMU)-induced breast cancer in Sprague Dawley rats. The dietary behavior of the rats was assessed, and the concentration of aluminum in the mammary glands was determined using atomic absorption spectroscopy. Read More

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http://dx.doi.org/10.3390/toxics8020031DOI Listing

Piperonyl butoxide: Mode of action analysis for mouse liver tumour formation and human relevance.

Toxicology 2020 Jun 19;439:152465. Epub 2020 Apr 19.

Science Strategies LLC, Charlottesville, VA, 22092, USA.

In a 79 week bioassay the pesticide synergist piperonyl butoxide (PBO) was shown to significantly increase the incidence of hepatocellular adenoma (but not hepatocellular carcinoma) in male CD-1 mice at dietary levels of 100 and 300 mg/kg/day PBO and in female mice at a dietary level of 300 mg/kg/day. As PBO is not a genotoxic agent, a series of investigative studies were undertaken to elucidate the mode of action (MOA) for PBO-induced mouse liver tumour formation. Male CD-1 mice were fed diets to provide intakes of 0 (control), 30, 100 and 300 mg/kg/day PBO and for purposes of comparison 500 ppm sodium phenobarbital (NaPB), a known constitutive androstane receptor (CAR) activator, for 7 and 14 days. Read More

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http://dx.doi.org/10.1016/j.tox.2020.152465DOI Listing

Hepatic adenoma rupture following portal vein embolization.

Radiol Case Rep 2020 Jun 5;15(6):664-667. Epub 2020 Apr 5.

Department of Diagnostic Imaging and Interventional Radiology, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 33612, USA.

Hepatic adenomas are benign liver tumors typically found in females of reproductive age. Though benign, hepatic adenomas are highly vascularized tumors, thus rupture and consequent hemorrhage present a feared complication. We report a case of a 31-year-old woman with hepatic adenoma who underwent preoperative portal vein embolization and subsequently suffered a rupture of her tumor. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136602PMC

A multicentre retrospective analysis on growth of residual hepatocellular adenoma after resection.

Liver Int 2020 Apr 12. Epub 2020 Apr 12.

Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Background & Aims: Hepatocellular adenoma (HCA) is a benign liver tumour that may require resection in select cases. The aim of this study was to the assess growth of residual HCA in the remnant liver and to advise on an evidence-based management strategy.

Method: This multicentre retrospective cohort study included all patients with HCA who underwent surgery of HCA and had residual HCA in the remnant liver. Read More

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http://dx.doi.org/10.1111/liv.14467DOI Listing

Inflammatory hepatocellular adenoma, focal nodular hyperplasia and hepatic granulomas in one single patient : possible physiopathologic explanations.

Acta Gastroenterol Belg 2020 Jan-Mar;83(1):83-85

Department of Pathology, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.

We report the case of a hepatocellular adenoma associated with focal nodular hyperplasia and hepatic granulomas in a 30-yearsold woman. This association has rarely been described before but might be explained by underlying common pathophysiologic mechanisms. In this manuscript possible links between the three entities are discussed. Read More

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The risk factors for hepatic steatosis in patients with primary aldosteronism.

Endocr J 2020 Jun 24;67(6):623-629. Epub 2020 Mar 24.

Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, 060-8648 Sapporo, Japan.

Patients with primary aldosteronism (PA) are complicated by metabolic syndrome more frequently than those without PA. Hyperaldosteronism has been reported to be associated with a higher prevalence of non-alcoholic fatty liver disease (NAFLD). We aimed to clarify the risk factors for hepatic steatosis in the two subtypes of PA, comparing the status of hepatic steatosis in each of these subtypes. Read More

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http://dx.doi.org/10.1507/endocrj.EJ19-0600DOI Listing

OXR1A, a Coactivator of PRMT5 Regulating Histone Arginine Methylation.

Cell Rep 2020 Mar;30(12):4165-4178.e7

Department of Microbiology, Oslo University Hospital, Oslo, Norway; Department of Medical Biochemistry, Oslo University Hospital and University of Oslo, Oslo, Norway; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway; Department of Laboratory Medicine, St. Olavs Hospital, Trondheim, Norway. Electronic address:

Oxidation resistance gene 1 (OXR1) protects cells against oxidative stress. We find that male mice with brain-specific isoform A knockout (Oxr1A) develop fatty liver. RNA sequencing of male Oxr1A liver indicates decreased growth hormone (GH) signaling, which is known to affect liver metabolism. Read More

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http://dx.doi.org/10.1016/j.celrep.2020.02.063DOI Listing

Current concepts in ablative procedures for primary benign liver lesions: a step forward to minimize the invasiveness of treatment when deemed necessary.

Med Oncol 2020 Mar 19;37(4):31. Epub 2020 Mar 19.

Department of Morphology, Surgery and Experimental Medicine, Radiology Section, University of Ferrara, Via L. Ariosto 35, Ferrara, 44121, Italy.

With increased use of medical imaging, the incidental detection of benign solid liver tumors has become more frequent. Facing with benign disease, the indications for surgery are still object of discussion in light of the stable natural course of most lesions and obvious drawbacks of any surgical intervention; therefore, in most situations, a conservative approach is recommended, and surgery is mainly reserved for those cases with persistent or worsening symptoms, or who are at risk for complications as malignant transformation. The advent of ablative techniques has widened the range of treatment options available to these patients, presenting as a valid alternative to resection in terms of safety and efficacy in selected cases, particularly in patients who are considered poor surgical candidates and with smaller lesions. Read More

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http://dx.doi.org/10.1007/s12032-020-01355-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102179PMC

CD5L Constitutes a Novel Biomarker for Integrated Hepatic Thyroid Hormone Action.

Thyroid 2020 Jun 21;30(6):908-923. Epub 2020 Apr 21.

Department of Molecular Endocrinology, Center of Brain, Behavior and Metabolism, Institute for Endocrinology and Diabetes, University of Lübeck, Lübeck, Germany.

Pathological conditions of the thyroid hormone (TH) system are routinely diagnosed by using serum concentrations of thyrotropin (TSH), which is sufficient in most cases. However, in certain conditions, such as resistance to TH due to mutations in (RTHb) or TSH-releasing pituitary adenoma (TSHoma), TSH may be insufficient for a correct diagnosis, even in combination with serum TH concentrations. Likewise, under TH replacement therapy, these parameters can be misleading and do not always allow optimal treatment. Read More

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http://dx.doi.org/10.1089/thy.2019.0635DOI Listing

Characterization of Indeterminate Liver Lesions on CT and MRI With Contrast-Enhanced Ultrasound: What Is the Evidence?

AJR Am J Roentgenol 2020 06 17;214(6):1295-1304. Epub 2020 Mar 17.

Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, University of Toronto, 585 University Ave, Toronto, ON M5G 2N2, Canada.

CT or MRI is most commonly used for characterizing focal hepatic lesions. However, findings on CT and MRI are occasionally indeterminate. Contrast-enhanced ultrasound (CEUS), with its unique characteristics as a purely intravascular contrast agent and real-time evaluation of enhancement, is a useful next step. Read More

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http://dx.doi.org/10.2214/AJR.19.21498DOI Listing

Pituitary tumours - a large retrospective single-centre study of over 2300 cases. Experience of a tertiary reference centre.

Endokrynol Pol 2020 10;71(2):116-125. Epub 2020 Mar 10.

Department of Neurosurgery, Military Institute of Medicine, Warsaw, Poland.

Introduction: Pituitary adenomas (PAs), also known as a pituitary neuroendocrine tumours (PitNET), are usually benign tumours of the anterior lobe of the pituitary gland and account for the third most common intracranial neoplasm. The most common type of pituitary adenoma is lactotroph adenoma, in which dopamine agonists are the first-line treatment. Nevertheless, in selected cases surgery or even radiotherapy may be required. Read More

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http://dx.doi.org/10.5603/EP.a2020.0011DOI Listing

A Review of Benign Hepatic Tumors and Their Imaging Characteristics.

Cureus 2020 Jan 29;12(1):e6813. Epub 2020 Jan 29.

Radiology, AdventHealth Orlando, Orlando, USA.

This paper concisely reviews the benign hepatic tumors most commonly encountered by clinicians. It includes the epidemiology, pathology, and imaging characteristics of hepatic hemangiomas, focal nodular hyperplasia (FNH), and hepatic adenomas (HAs). Read More

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http://dx.doi.org/10.7759/cureus.6813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047931PMC
January 2020

Bile duct adenoma: imaging features and radiologic-pathologic correlation.

Jpn J Radiol 2020 Jun 3;38(6):561-571. Epub 2020 Mar 3.

Department of Gastoroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, Sapporo, Hokkaido, 060-0033, Japan.

Purpose: This study aimed to reveal characteristic imaging features of bile duct adenoma (BDA) by radiologic-pathologic correlation.

Materials And Methods: We retrospectively analyzed pathological and imaging findings of seven patients with BDA.

Results: The median maximum diameter of BDA was 5. Read More

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http://dx.doi.org/10.1007/s11604-020-00938-0DOI Listing

Hepatocellular adenomas: is there additional value in using Gd-EOB-enhanced MRI for subtype differentiation?

Eur Radiol 2020 Jun 21;30(6):3497-3506. Epub 2020 Feb 21.

Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Leipzig, Leipzig, Germany.

Purpose: To differentiate subtypes of hepatocellular adenoma (HCA) based on enhancement characteristics in gadoxetic acid (Gd-EOB) magnetic resonance imaging (MRI).

Materials And Methods: Forty-eight patients with 79 histopathologically proven HCAs who underwent Gd-EOB-enhanced MRI were enrolled (standard of reference: surgical resection). Two blinded radiologists performed quantitative measurements (lesion-to-liver enhancement) and evaluated qualitative imaging features. Read More

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http://dx.doi.org/10.1007/s00330-020-06726-8DOI Listing

Multidisciplinary management of the pregnant patient in haemorrhagic shock secondary to an undiagnosed ruptured liver adenoma.

BMJ Case Rep 2020 Feb 13;13(2). Epub 2020 Feb 13.

Department of Surgery, George Washington University, Washington, DC, USA.

Management of a ruptured hepatocellular adenoma during pregnancy is a rare and potentially life-threatening entity. Few case reports have described management of the pregnant patient who presents in haemorrhagic shock secondary to a ruptured liver adenoma. A 30-year-old primigravid woman at 31 weeks pregnant presented with abdominal pain and fetal bradycardia. Read More

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http://dx.doi.org/10.1136/bcr-2019-231995DOI Listing
February 2020

Co-occurrence of multiple endocrine neoplasia type 4 and spinal neurofibromatosis: a case report.

Fam Cancer 2020 Apr;19(2):189-192

Division of Medical Oncology, Department of Internal Medicine, The Ohio State University, A440 Starling-Loving Hall, 320 W 10th Ave, Columbus, OH, 43210, USA.

Multiple Endocrine Neoplasia (MEN) type 4 is a rare genetic condition that results from variants of the CDKN1B gene and predisposes individuals to develop endocrine tumors. Spinal neurofibromatosis (SNF) is an uncommon subtype of neurofibromatosis type 1 (NF1) characterized by bilateral neurofibromas of all spinal roots. Here we report a case of the co-occurrence of these syndromes, which has not yet been described in the literature. Read More

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http://dx.doi.org/10.1007/s10689-019-00152-6DOI Listing

Dimethylarsinic acid (DMA) enhanced lung carcinogenesis via histone H3K9 modification in a transplacental mouse model.

Arch Toxicol 2020 03 12;94(3):927-937. Epub 2020 Feb 12.

Department of Molecular Pathology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan.

Pregnant CD-1 mice received 200 ppm dimethylarsinic acid (DMA) in the drinking water from gestation day 8-18, and tumor formation was assessed in offspring at the age of 84 weeks. DMA elevated the incidence of lung adenocarcinoma (10.0%) and total tumors (33. Read More

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http://dx.doi.org/10.1007/s00204-020-02665-xDOI Listing

Pancreatic solid serous cystadenoma: a rare entity that can lead to a futile surgery.

J Surg Case Rep 2019 Dec 17;2019(12):rjz360. Epub 2019 Dec 17.

CHR Val de Sambre, Auvelais, Belgium.

Although many types of pancreatic tumors exist, pancreatic solid serous cystadenoma stand as the most rare. Despite advances in medical imaging, definitive diagnosis remains complex. Here, we report a case of a 63-year-old man with a suspicious lesion of the pancreas discovered during a positron emission tomography-computed tomography. Read More

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http://dx.doi.org/10.1093/jscr/rjz360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996578PMC
December 2019

Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy Tourniquet as a Resource for Hepatic Transplant in Patient With Hepatic Adenomatosis: A Case Report.

Transplant Proc 2020 Mar 6;52(2):594-595. Epub 2020 Feb 6.

General and Digestive Surgery, Virgen de la Arrixaca Clinic and University Hospital, El Palmar, Murcia, Spain.

Background: Hepatic adenomatosis is defined as the presence of more than 10 adenomatous lesions seated on a healthy liver. The most frequent complication is bleeding, presenting a risk of malignant neoplasms of less than 10%.

Clinical Case: We present a case of a 28-year-old woman with polycystic ovary syndrome treated with oral contraceptives for 10 years. Read More

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http://dx.doi.org/10.1016/j.transproceed.2019.11.036DOI Listing

Hepatic Adenoma.

Authors:
David S Williams

J Insur Med 2020 Feb 5. Epub 2020 Feb 5.

Hepatic adenomas are rare, usually benign tumors of the liver with a small risk for bleeding and malignant transformation. Read More

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http://dx.doi.org/10.17849/insm-48-2-1-1.1DOI Listing
February 2020

State-of-the-art MR Imaging of Fat-containing Focal Lesions of the Liver.

Curr Med Imaging Rev 2019 ;15(5):435-442

Department of Radiology I, Maria Skłodowska-Curie Memorial Cancer Centre, Institute of Oncology, Ul. Roentgena 5, 02-781 Warszawa, Poland.

Background: Fat can be identified in numerous liver lesions, and usually is not a specific finding. Distinguishing between different kinds of fatty deposits is an important part of differential diagnosis. Magnetic Resonance Imaging (MRI) is superior to other imaging techniques because it allows distinguishing intracellular from macroscopic fat. Read More

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http://dx.doi.org/10.2174/1573405614666171218154838DOI Listing
January 2019

Luschka Ducts of the Gallbladder in Adults: Case Series Report and Review of the Medical Literature.

Int J Surg Pathol 2020 Aug 26;28(5):482-489. Epub 2020 Jan 26.

Asan Medical Center, Seoul, South Korea.

Luschka ducts (LD) of the gallbladder (GB) are rare congenital lesions. They are defined as bile ducts that connect directly the hepatic bile duct system to the GB. We aimed to present the characteristics of 55 cases of GB LDs as diagnosed on cholecystectomy specimens. Read More

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http://dx.doi.org/10.1177/1066896920901334DOI Listing

Hepatic Adenomatosis: A Challenging Liver Disease.

GE Port J Gastroenterol 2020 Jan 8;27(1):37-42. Epub 2019 Aug 8.

Department of Internal Medicine, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Hepatic adenomatosis is defined as the presence of 10 or more adenomas in an otherwise normal liver. Half of the cases are clinically silent and detected incidentally in imaging exams. A 42-year-old woman with previous history of arterial hypertension and mixed dyslipidemia had multiple liver nodules incidentally identified in an abdominal computed tomography scan. Read More

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http://dx.doi.org/10.1159/000500144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959116PMC
January 2020

Advances in molecular classification and precision oncology in hepatocellular carcinoma.

J Hepatol 2020 Feb;72(2):215-229

Centre de Recherche des Cordeliers, Sorbonne Université, Inserm, USPC, Université Paris Descartes, Université Paris Diderot, Université Paris 13, Functional Genomics of Solid Tumors Laboratory, F-75006 Paris, France; Liver Unit, Hôpital Jean Verdier, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Assistance-Publique Hôpitaux de Paris, Bondy, France; Unité de Formation et de Recherche Santé Médecine et Biologie Humaine, Université Paris 13, Communauté d'Universités et Etablissements Sorbonne Paris Cité, Paris, France. Electronic address:

Hepatocellular carcinoma (HCC) arises from hepatocytes through the sequential accumulation of multiple genomic and epigenomic alterations resulting from Darwinian selection. Genes from various signalling pathways such as telomere maintenance, Wnt/β-catenin, P53/cell cycle regulation, oxidative stress, epigenetic modifiers, AKT/mTOR and MAP kinase are frequently mutated in HCC. Several subclasses of HCC have been identified based on transcriptomic dysregulation and genetic alterations that are closely related to risk factors, pathological features and prognosis. Read More

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http://dx.doi.org/10.1016/j.jhep.2019.08.017DOI Listing
February 2020

[Management of benign liver tumors].

Internist (Berl) 2020 Feb;61(2):140-146

Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Benign liver tumors form a heterogeneous group. The most frequent forms include simple cysts, hemangiomas, focal nodular hyperplasia and hepatocellular adenomas. They are often incidentally detected during routine sonography. Read More

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http://dx.doi.org/10.1007/s00108-019-00736-5DOI Listing
February 2020

[Radiological diagnostic workup of liver tumors].

Authors:
H-J Raatschen

Internist (Berl) 2020 Feb;61(2):123-130

Institut für Diagnostische und Interventionelle Radiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

The imaging of focal liver lesions is a common task in daily radiological routine. The objectives of diagnostic imaging are, in addition to lesion detection, the characterization of the lesion as well as the follow-up assessment after surgical or local treatment or under systemic therapy. This article presents the typical morphologies observed in computed tomography and magnetic resonance imaging of hepatocellular carcinomas and intrahepatic cholangiocarcinomas as the most important representatives of primary malignant liver tumors and juxtaposes them with benign primary liver lesions such as adenoma and focal nodular hyperplasia (FNH). Read More

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http://dx.doi.org/10.1007/s00108-019-00724-9DOI Listing
February 2020