1. Low-grade siderotic dysplastic nodules: determination of premalignant lesions on the basis of vasculature phenotype.
- Author
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Krinsky GA, Zivin SB, Thorner KM, Lee VS, Theise ND, and Weinreb JC
- Subjects
- Humans, Liver blood supply, Liver pathology, Liver Regeneration, Magnetic Resonance Imaging, Precancerous Conditions classification, Liver Cirrhosis pathology, Precancerous Conditions pathology, Siderosis pathology
- Abstract
Rationale and Objectives: The authors performed this study to determine whether, on the basis of the vascular profile, low-grade siderotic dysplastic nodules are premalignant lesions., Materials and Methods: The authors used a monoclonal antibody specific for smooth muscle actin to stain 18 siderotic low-grade dysplastic nodules (mean size, 0.7 cm) from nine patients. Two pathologists counted the number of unpaired arteries per high-power field in siderotic dysplastic nodules and background siderotic regenerative nodules by using two techniques (conventional and hot spot)., Results: The number of unpaired arteries seen with the conventional counting technique in low-grade siderotic dysplastic nodules (range, 1-14; mean, 3.8) was significantly greater (P = .004) than that seen in background siderotic regenerative nodules (range, 0-3; mean, 1.2). Similarly, the number of unpaired arteries seen with the hot spot technique in low-grade siderotic dysplastic nodules (range, 0-14; mean, 5.2) was significantly greater (P = .005) than that seen in background siderotic regenerative nodules (range, 0-6; mean, 1.9)., Conclusion: On the basis of the vascular profile, low-grade siderotic dysplastic nodules should be considered premalignant lesions. Further research is needed to help differentiate these lesions from siderotic regenerative nodules with magnetic resonance imaging.
- Published
- 2002
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