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


Çabuk F. K., Başsüllü N., Türkmen İ., DAYANGAÇ M., Akyıldız M., Yüzer Y., ...Daha Fazla

Polish Journal of Pathology, cilt.71, sa.2, ss.79-86, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 71 Sayı: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.5114/pjp.2020.97015
  • Dergi Adı: Polish Journal of Pathology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, MEDLINE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.79-86
  • Anahtar Kelimeler: hepatocellular carcinoma, liver neoplasms, cholangiocarcinoma, risk factors
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and combined hepato-cellular and cholangiocarcinoma are the most common cancers of the liver. In this study, our first aim is to evaluate the relationship between prognosis and clinicopath-ological parameters. The second aim involves investigating the need for immunohis-tochemical 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 tu-mour 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.