Hepatocellular carcinoma associated with focal nodular hyperplasia: Report of a case with clonal analysis

Tse Ching Chen*, Tze Bin Chou, Kwai Fong Ng, Ling Ling Hsieh, Yah Huei Wu Chou

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

31 Scopus citations

Abstract

We describe a hepatocellular carcinoma partially surrounded by focal nodular hyperplasia in a 65-year-old female patient. In order to clarify the relationship of the hepatocellular carcinoma and the adjacent focal nodular hyperplasia, clonal analysis was conducted. The clonal analysis was based on the methylation pattern of the polymorphic X-chromosome-linked androgen receptor gene (HUMARA). The allelic bands from the amplification of the focal nodular hyperplasia and of the hepatocellular carcinoma showed a significant reduction in the intensity of one of the two alleles as compared with two alleles of equal intensity in the buff coat after HhaI digestion, which indicated that these two parts were monoclonal. However, the inactivated allele in the focal nodular hyperplasia and that in the hepatocellular carcinoma were not identical. Therefore, the focal nodular hyperplasia and hepatocellular carcinoma probably derived from the clonal expansion of two different clones.

Original languageEnglish
Pages (from-to)408-411
Number of pages4
JournalVirchows Archiv
Volume438
Issue number4
DOIs
StatePublished - 2001

Keywords

  • Androgen receptor gene
  • Clonality
  • Focal nodular hyperplasia
  • HUMARA
  • Hepatocellular carcinoma

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