The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed type

Hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and combined hepatocellular and cholangiocarcinoma are the most common cancers of the liver. In this study, our first aim is to evaluate the relationship between prognosis and clinicopathological parameters. The second aim involves investiga...

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Main Authors: Fatmagül Çabuk, Nuray Başsüllü, İlknur Türkmen, Murat Dayangaç, Murat Akyıldız, Yıldıray Yüzer, Yaman Tokat, Gülen Doğusoy
Format: Article
Language:English
Published: Termedia Publishing House 2020-07-01
Series:Polish Journal of Pathology
Subjects:
Online Access:https://www.termedia.pl/The-prognostic-relationship-between-histopathological-and-immunohistochemical-features-of-hepatocellular-carcinoma-intrahepatic-cholangiocarcinoma-and-mixed-type,55,41201,1,1.html
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author Fatmagül Çabuk
Nuray Başsüllü
İlknur Türkmen
Murat Dayangaç
Murat Akyıldız
Yıldıray Yüzer
Yaman Tokat
Gülen Doğusoy
author_facet Fatmagül Çabuk
Nuray Başsüllü
İlknur Türkmen
Murat Dayangaç
Murat Akyıldız
Yıldıray Yüzer
Yaman Tokat
Gülen Doğusoy
author_sort Fatmagül Çabuk
collection DOAJ
description Hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and combined hepatocellular and cholangiocarcinoma are the most common cancers of the liver. In this study, our first aim is to evaluate the relationship between prognosis and clinicopathological parameters. The second aim involves investigating the need for immunohistochemical staining and patterns of tumours to differentiate between them. Sixty-one cases were included in this study. For IHC, we used Hep par-1, CK7, CK19, CD56 and p53 staining, and the patterns of tumours were evaluated in haematoyxylin-eosin sections. No significant differences were found in Kaplan-Meier life analysis between the tumour types and OS and DFS values, but these values were greater in HCC than in ICC. There were no relationships between clinicopathologic parameters and OS and DFS. Although the multifocality, stage and grade of tumour were higher in HCC than in ICC, the perineural invasion and lymph node metastasis were more common in ICC than in HCC. The diagnosis was changed in 4 cases, from HCC to ICC in one case and to combined type in 3 cases after IHC. Pathologist should be alert to mixed patterns in terms of diagnosis and IHC, because it helps differential diagnosis in these cases.
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spelling doaj.art-844d939523414813b17006b04a213dfc2022-12-21T19:29:16ZengTermedia Publishing HousePolish Journal of Pathology1233-96872084-98692020-07-01712798610.5114/pjp.2020.9701541201The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed typeFatmagül ÇabukNuray Başsüllüİlknur TürkmenMurat DayangaçMurat AkyıldızYıldıray YüzerYaman TokatGülen DoğusoyHepatocellular carcinoma, intrahepatic cholangiocarcinoma, and combined hepatocellular and cholangiocarcinoma are the most common cancers of the liver. In this study, our first aim is to evaluate the relationship between prognosis and clinicopathological parameters. The second aim involves investigating the need for immunohistochemical staining and patterns of tumours to differentiate between them. Sixty-one cases were included in this study. For IHC, we used Hep par-1, CK7, CK19, CD56 and p53 staining, and the patterns of tumours were evaluated in haematoyxylin-eosin sections. No significant differences were found in Kaplan-Meier life analysis between the tumour types and OS and DFS values, but these values were greater in HCC than in ICC. There were no relationships between clinicopathologic parameters and OS and DFS. Although the multifocality, stage and grade of tumour were higher in HCC than in ICC, the perineural invasion and lymph node metastasis were more common in ICC than in HCC. The diagnosis was changed in 4 cases, from HCC to ICC in one case and to combined type in 3 cases after IHC. Pathologist should be alert to mixed patterns in terms of diagnosis and IHC, because it helps differential diagnosis in these cases.https://www.termedia.pl/The-prognostic-relationship-between-histopathological-and-immunohistochemical-features-of-hepatocellular-carcinoma-intrahepatic-cholangiocarcinoma-and-mixed-type,55,41201,1,1.htmlhepatocellular carcinoma liver neoplasms cholangiocarcinoma risk factors.
spellingShingle Fatmagül Çabuk
Nuray Başsüllü
İlknur Türkmen
Murat Dayangaç
Murat Akyıldız
Yıldıray Yüzer
Yaman Tokat
Gülen Doğusoy
The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed type
Polish Journal of Pathology
hepatocellular carcinoma
liver neoplasms
cholangiocarcinoma
risk factors.
title The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed type
title_full The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed type
title_fullStr The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed type
title_full_unstemmed The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed type
title_short The prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma, intrahepatic cholangiocarcinoma and mixed type
title_sort prognostic relationship between histopathological and immunohistochemical features of hepatocellular carcinoma intrahepatic cholangiocarcinoma and mixed type
topic hepatocellular carcinoma
liver neoplasms
cholangiocarcinoma
risk factors.
url https://www.termedia.pl/The-prognostic-relationship-between-histopathological-and-immunohistochemical-features-of-hepatocellular-carcinoma-intrahepatic-cholangiocarcinoma-and-mixed-type,55,41201,1,1.html
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