TY - JOUR
T1 - Fibrolamellar carcinoma
T2 - Diagnosis and diagnostic pitfalls
AU - Graham, Rondell P.
AU - Torbenson, Michael S.
N1 - Publisher Copyright:
© 2014 by Lippincott Williams & Wilkins.
PY - 2014/12/11
Y1 - 2014/12/11
N2 - Fibrolamellar carcinomas are a unique primary liver cancer that most commonly occur in teenaged individuals and young adults. They are not associated with chronic liver disease, and their etiology remains a mystery. The most important prognostic feature is tumor resectability. Overall, fibrolamellar carcinomas have a similar prognosis to that of typical hepatocellular carcinomas, after controlling for age and background liver disease. A diagnosis can be made only by histological findings. Distinctive histological features include large eosinophilic tumor cells, prominent tumor nucleoli, and extensive intratumoral fibrosis. The hematoxylin-eosin impression of fibrolamellar carcinoma can be confirmed with CK7 and CD68 immunostains. There are numerous diagnostic pitfalls, which are further discussed in this review. There is no effective chemotherapy to date, but molecular studies have identified several potential targets including epidermal growth factor receptor, mammalian target of rapamycin, and fibroblast growth factor receptor 1 pathways.
AB - Fibrolamellar carcinomas are a unique primary liver cancer that most commonly occur in teenaged individuals and young adults. They are not associated with chronic liver disease, and their etiology remains a mystery. The most important prognostic feature is tumor resectability. Overall, fibrolamellar carcinomas have a similar prognosis to that of typical hepatocellular carcinomas, after controlling for age and background liver disease. A diagnosis can be made only by histological findings. Distinctive histological features include large eosinophilic tumor cells, prominent tumor nucleoli, and extensive intratumoral fibrosis. The hematoxylin-eosin impression of fibrolamellar carcinoma can be confirmed with CK7 and CD68 immunostains. There are numerous diagnostic pitfalls, which are further discussed in this review. There is no effective chemotherapy to date, but molecular studies have identified several potential targets including epidermal growth factor receptor, mammalian target of rapamycin, and fibroblast growth factor receptor 1 pathways.
KW - Fibrolamellar carcinoma
KW - Hepatocellular carcinoma
KW - Liver disease
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U2 - 10.1097/PCR.0000000000000063
DO - 10.1097/PCR.0000000000000063
M3 - Review article
AN - SCOPUS:84916631064
SN - 1082-9784
VL - 19
SP - 309
EP - 315
JO - Pathology Case Reviews
JF - Pathology Case Reviews
IS - 6
ER -