Evidence map›Paper›PMID 39953652›Full record

ArticleCancer reports (Hoboken, N.J.)2025

Clinicopathological Study on Morphological Subtypes of Hepatocellular Carcinoma: A Single Tertiary Referral Center Experience.

C H A Saler, S Shuai, J C Beckervordersandforth, D Rennspiess, G Roemen, T Gevers, M C F Stoehr-Kleinegris, S A W Bouwense, M J L Dewulf, M M E Coolsen and 6 more

Abstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

C H A SalerDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
S ShuaiDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
J C BeckervordersandforthDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
D RennspiessDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
G RoemenDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
T GeversDepartment of Internal Medicine, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
M C F Stoehr-KleinegrisDepartment of Internal Medicine, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
S A W BouwenseDepartment of Surgery, School of Nutrition and Translational Research in Metabolism (NUTRIM), School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
M J L DewulfDepartment of Surgery, School of Nutrition and Translational Research in Metabolism (NUTRIM), School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
M M E CoolsenDepartment of Surgery, School of Nutrition and Translational Research in Metabolism (NUTRIM), School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
M H A BemelmansDepartment of Surgery, School of Nutrition and Translational Research in Metabolism (NUTRIM), School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
S W Olde DaminkDepartment of Surgery, School of Nutrition and Translational Research in Metabolism (NUTRIM), School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
V WinnepenninckxDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
A Zur HausenDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
M KramerDepartment of Internal Medicine, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.
I V SamarskaDepartment of Pathology, GROW-School for Oncology and Reproduction, Maastricht University Medical Center +, Maastricht, the Netherlands.ORCID 0000-0003-4092-0672

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe aimed to analyze hepatocellular carcinoma (HCC) morphological subtypes characterized according to the WHO classification and the International Collaboration on Cancer Reporting (ICCR) recommendations, and their prognostic features in a Dutch population. METHODS AND

resultsThis retrospective study in a tertiary referral center included the histopathological revision of 62 HCC resection specimens, obtained from 22 female and 40 male patients (median age: 67 years), in a period between 2011 and 2021 at the Maastricht University Medical Center +. Clinical data, morphological subtypes, growth pattern (GP), tumor grade, tumor extension, margins, and vascular and perineural invasion were collected. Eighteen cases were assigned a specific morphologic subtype and steatohepatic HCC was the most common in our cohort. Twenty-one tumors classified as conventional type HCC (HCC-NOS), commonly exhibiting two concurrent GPs. Twenty-three cases revealed a heterogeneous morphologic differentiation, compromising the combination of HCC-NOS with another morphologic subtype, most frequently a steatohepatitic component. Comparison of HCC-NOS and HCC with heterogeneous morphology did not show significant differences in the main clinicopathological characteristics and survival.

conclusionAlthough the most common morphologic subtype was steatohepatitic HCC, the majority of cases demonstrated multiple morphologic patterns. In case of HCC-NOS, heterogeneous GPs were often observed. Therefore, a histomorphological diagnosis based on a single tumor biopsy specimen may lead to incorrect classification of HCC. Sufficient tumor sampling of HCC resection specimens is required for the complete evaluation of all histomorphological features followed by correct subclassification in order to meet the clinical needs regarding prognostic relevance and patient follow-up.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsAdultAgedAged, 80 and overFemaleHepatectomyHumansMaleMiddle AgedNeoplasm GradingNetherlandsPrognosisRetrospective StudiesTertiary Care Centerscancer careliver cancerpathologytumor heterogeneity

Identifiers

PMID39953652
PMCPMC11828739

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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.