Evidence map›Paper›PMID 39235933›Full record

ReviewThe British journal of radiology2024

Hepatocellular adenoma update: diagnosis, molecular classification, and clinical course.

Sarah Poetter-Lang, Ahmed Ba-Ssalamah, Nina Bastati, Sami A Ba-Ssalamah, Jacqueline C Hodge, Giuseppe Brancatelli, Valérie Paradis, Valérie Vilgrain

Abstract readReview
In one paragraph

Review in The British journal of radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Potential to Avoid Invasive Procedures for Atypical Focal Nodular Hyperplasia (FNH) and FNH-like Lesions Based on MR Findings.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
    Article
  10. Article
  11. Article
  12. Diagnosis and Management of Benign Liver Tumors.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah Poetter-LangDepartment of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, Vienna, 1090, Austria.
Ahmed Ba-SsalamahDepartment of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, Vienna, 1090, Austria.ORCID 0000-0002-3527-404X
Nina BastatiDepartment of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, Vienna, 1090, Austria.
Sami A Ba-SsalamahDepartment of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, Vienna, 1090, Austria.
Jacqueline C HodgeDepartment of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, Vienna, 1090, Austria.
Giuseppe BrancatelliDepartment of Radiology, University of Palermo, Palermo, 90133, Italy.
Valérie ParadisDepartment of Pathology, Hôpital Beaujon-APHP Nord, Université Paris Cité, Clichy, 92110, Paris, France.
Valérie VilgrainDepartment of Radiology, Hôpital Beaujon-APHP Nord, Université Paris Cité, Clichy, 92110, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular adenomas (HCA) are acquired focal liver lesions, that occur mainly in young-to-middle-aged women who are on long-term estrogen-containing contraceptives or young men after prolonged use of anabolic steroids. Furthermore, distinct underlying diseases, such as obesity, metabolic dysfunction-associated steatotic liver disease, glycogen storage disease, etc. are considered risk factors. The 2017 Bordeaux classification, in particular Nault et al, divided HCAs into eight subtypes according to their pheno- and genotypic characteristics. This includes HCAs with hepatocyte-nuclear-factor (HNF1-alpha mutation), HCAs with β-catenin mutation, and HCAs without either of these genetic mutations, which are further subdivided into HCAs with and without inflammatory cells. HCAs should no longer be classified as purely benign without histologic workup since three of the eight subtypes are considered high-risk lesions, requiring adequate management: malignant transformation of the pure (ßex3-HCA) and mixed inflammatory/β-catenin exon 3 (ßex3-IHCA) adenomas, as well as potential bleeding of the sonic hedgehog HCA and pure (ßex7/8-HCA) and mixed inflammatory/β-catenin exon 7/8 (ßex7/8-IHCA). Elective surgery is recommended for any HCA in a male, or for any HCA exceeding 5 cm. Although MRI can classify up to 80% of adenomas, if findings are equivocal, biopsy remains the reference standard for adenoma subtype.

Indexed as

Adenoma, Liver CellLiver Neoplasmsbeta CateninFemaleHumansMaleMutationbeta Catenincontrast agentshepatocellular adenomalivermolecular imagingMRI

Identifiers

PMID39235933
PMCPMC11491668

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.