Hepatic Adenomas
Imaging Characteristics Based on the Bordeaux Classification
Leonardo Pisani, MD, Juan Francisco Santoscoy MD, Monica Garcia-Buitrago, MD, Rosa Patricia Castillo, MD, Victor Javier Casillas, MD, Emmanuel Thomas MD, PhD, Beatrice L. Madrazo, MD
Teaching point
B-catenin mutated hepatocellular adenomas are interpreted as borderline lesions between hepatocellular adenoma and hepatocellular carcinoma.
Beta-catenin mutate HCA is highly associated with HCC
Therefore are surgical
Management of HCA is based on clinical factors, size progression and histopathologic examination
Beta-catenin assesment is imperative
HNF1α and Inflammatory HCA have a low risk for development of HCC
However, pathology study must rule out mixed inflammatory-beta-catenin HCA
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