Evidence map›Paper›PMID 39418121›Full record

ArticleAmerican journal of clinical pathology2025

Clinicopathologic features and prognosis of steatohepatitic hepatocellular carcinoma based on varying cutoffs of tumoral steatohepatitic changes.

Tao Zhang, Na Niu, Tamar Taddei, Dhanpat Jain, Xuchen Zhang

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Article in American journal of clinical pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tao ZhangDepartment of Pathology.
Na NiuDepartment of Pathology.
Tamar TaddeiSection of Digestive Diseases. Yale University School of Medicine. New Haven, CT, US.
Dhanpat JainDepartment of Pathology.ORCID 0000-0003-3845-0798
Xuchen ZhangDepartment of Pathology.

Funding

Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI WAJAHAT Zafar MEHAL · 1986 to 2026
$31.1M
NIDDK NIH HHS P30 DK034989
6 · The paper itself

Abstract

objectivesSteatohepatitic hepatocellular carcinoma (SH-HCC) is currently recognized as a distinct histologic subtype of HCC. The prognosis and specific criteria for determining the amount of steatohepatitis required to define SH-HCC are still unclear.

methodsAfter excluding all recognized HCC subtypes from 505 HCC cases (2010-2019), the remaining cases were categorized as conventional HCC (CV-HCC) (n = 223). The cases classified as SH-HCC (n = 171) were further divided into groups based on the percentage of steatohepatitis: 5% or more, 30% or more, and 50% or more.

resultsHepatitis C virus infection was the predominant underlying liver disease in both the CV-HCC and SH-HCC groups. Metabolic dysfunction-associated steatotic liver disease (formerly nonalcoholic fatty liver disease) was more prevalent in all cases of SH-HCC with different steatohepatitic cutoffs than in cases of CV-HCC. There were no differences in the stage of fibrosis of the background liver between the CV-HCC and SH-HCC groups. SH-HCC with different cutoffs exhibited a notable increase in the presence of glycogenated nuclei, Mallory-Denk bodies, and hyaline globules in tumor cells. Survival analysis did not reveal substantial differences in overall survival between the CV-HCC and SH-HCC groups and among patients with SH-HCC with different steatohepatitis cutoffs.

conclusionsThe degree of intratumoral steatohepatitis in patients with SH-HCC does not appear to be a notable prognostic factor. The presence of steatohepatitis in the tumor is better recognized as 1 of the histopathologic patterns of HCC.

Indexed as

Carcinoma, HepatocellularFatty LiverLiver NeoplasmsNon-alcoholic Fatty Liver DiseaseAdultAgedFemaleHepatitis CHumansMaleMiddle AgedPrognosisRetrospective Studieshepatocellular carcinomapathologysteatohepatitic hepatocellular carcinomasteatohepatitis

Identifiers

PMID39418121
PMCPMC13016641

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