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Hepatoid Carcinomas (Adenocarcinomas with Hepatoid Features)

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Tumors and Tumor-Like Lesions of the Hepatobiliary Tract
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Abstract

Hepatoid carcinoma (adenocarcinoma with hepatoid features) is a highly aggressive carcinoma occurring in various organs, morphologically characterized by the presence of HCC-like cells that frequently express alpha-fetoprotein, but with a cytokeratin pattern that differs from that of classical HCC, in that tumor cells are often positive for cytokeratins 7 and 20. Similar to HCC, gastrointestinal hepatoid carcinomas can express the hepatocyte marker Hep Par 1. These neoplasms are associated with rapid progression and a poor outcome. Most hepatoid carcinomas found in the liver are metastases of gastric hepatoid carcinomas, the stomach being a frequent primary site. Primary hepatoid carcinomas also occur in bile ducts, the gallbladder, and the ampullary region, but these are uncommon locations. The histogenesis of this neoplasm has not yet been elucidated.

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References

  • Abdullah A, Jenkins-Mosure K, Lewis T, Patel Y, Strobel S, Pepe L (2010) Primary hepatoid carcinoma of the biliary tree: a radiologic mimicker of Klatskin-type tumor. Cancer Imaging 10:198–201

    Article  PubMed  PubMed Central  Google Scholar 

  • Brown JA, Roberts CS (1992) Elevated serum alpha-fetoprotein levels in primary gallbladder carcinoma without hepatic involvement. Cancer 70:1838–1840

    Article  CAS  PubMed  Google Scholar 

  • Ellouze S, Slim C, Ahmad G, Naourez G, Ali A, Héla M, Mariem K, Mohamed BA et al (2011) Hepatoid adenocarcinoma of the gallbladder. World J Surg Oncol 9:103

    Article  PubMed  PubMed Central  Google Scholar 

  • Gakiopoulou H, Givalos N, Liapis G, Agrogiannis G, Patsouris E, Delladetsima I (2007) Hepatoid adenocarcinoma of the gallbladder. Dig Dis Sci 52:3358–3362

    Article  CAS  PubMed  Google Scholar 

  • Gardiner GW, Lajoie G, Keith R (1992) Hepatoid adenocarcinoma of the papilla of Vater. Histopathology 20:541–544

    Article  CAS  PubMed  Google Scholar 

  • Hasegawa Y, Tomita K, Hashimoto K, Shigeoka Y, Watanabe M, Yamasaki A, Shimizu E (2005) Des-gamma-carboxy prothrombin (PIVKA-II)-producing mediastinal embryonal carcinoma with features of hepatoid differentiation. Anticancer Res 25:4569–4571

    PubMed  Google Scholar 

  • Hishinuma M, Ohashi KI, Yamauchi N, Kashima T, Uozaki H, Ota S, Kodama T, Aburatani H, Fukayama M (2006) Hepatocellular oncofetal protein, glypican 3 is a sensitive marker for alpha-fetoprotein-producing gastric carcinoma. Histopathology 49:479–486

    Article  CAS  PubMed  Google Scholar 

  • Ikeda H, Sato Y, Yoneda N, Harada K, Sasaki M, Kitamura S, Sudo Y, Ooi A, Nakanuma Y (2012) a-Fetoprotein-producing gastric carcinoma and combined hepatocellular and cholangiocarcinoma show similar morphology but different histogenesis with respect to SALL4 expression. Hum Pathol 43:1955–1963

    Article  CAS  PubMed  Google Scholar 

  • Jo JM, Kim JW, Heo SH, Shin SS, Jeong YY, Hur YH (2012) Hepatic metastases from hepatoid adenocarcinoma of stomach mimicking hepatocellular carcinoma. Clin Mol Hepatol 18:420–423

    Article  PubMed  PubMed Central  Google Scholar 

  • Kao CY, Chang CR, Chiang H, Chen HT, Shih-Ming M, Cheng CY (2009) Well-differentiated gall bladder hepatoid carcinoma producing alpha-fetoprotein: a case report. J Med Case Rep 3:7303

    Article  PubMed  PubMed Central  Google Scholar 

  • Kishimoto et al (2000) pub Med PMID 11810459

    Google Scholar 

  • Kishimoto T, Yano T, Hiroshima K, Inayama Y, Kawachi K, Nakatani Y (2008) A case of a-fetoprotein-producing pulmonary carcinoma with restricted expression of hepatocyte nuclear factor-4a in hepatoid foci: a case report with studies of previous cases. Hum Pathol 39:1115–1120

    Article  CAS  PubMed  Google Scholar 

  • Koswara T, Marwoto W, Siregar NC, Gumay S, Azis H, Abdullah M, Himawan S (2007) Hepatoid carcinoma of the gallbladder. Acta Med Indones 39:179–182

    PubMed  Google Scholar 

  • Kwon JE, Kim SH, Cho NH (2006) No ancillary finding is valid to distinguish a primary ovarian hepatoid carcinoma from metastatic hepatocellular carcinoma. Int J Gynecol Cancer 16:1691–1694

    Article  CAS  PubMed  Google Scholar 

  • Liu X, Sheng W, Wang Y (2012) An analysis of clinicopathological features and prognosis by comparing hepatoid adenocarcinoma of the stomach with AFP-producing gastric cancer. J Surg Oncol 106:299–303

    Article  PubMed  Google Scholar 

  • Maitra A, Murakata LA, Albores-Saavedra J (2001) Immunoreactivity for hepatocyte paraffin 1 antibody in hepatoid adenocarcinomas of the gastrointestinal tract. Am J Clin Pathol 115:689–694

    Article  CAS  PubMed  Google Scholar 

  • Moon JY, Kim GH, Cheong JH, Lee BE, Ryu DY, Song GA (2012) A case of hepatic metastases of gastric hepatoid adenocarcinoma mistaken for primary hepatocellular carcinoma (in Korean). Korean J Gastroenterol 60:262–266

    Article  PubMed  Google Scholar 

  • Nagai E, Ueyama T, Yao T, Tsuneyoshi M (1993) Hepatoid adenocarcinoma of the stomach. A clinicopathologic and immunohistochemical analysis. Cancer 72:1827–1835

    Article  CAS  PubMed  Google Scholar 

  • Nakashima et al (2000) pub Med PMID 10982619

    Google Scholar 

  • Ng WK, Ng WF (1995) Elevated serum a-fetoprotein in a patient with undifferentiated carcinoma of the gall bladder. J Clin Pathol 48:1061–1063

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nishiwaki M, Kimura M, Gega M, Ohi Y, Nishioka A, Ashida H, Yamamura T, Utsunomiya J, Nishigami T (1997) A case of adenocarcinoma of the gallbladder with lymph node metastasis showing hepatoid adenocarcinoma and producing alfa-fetoprotein (in Japanese). Nippon Shokakibyo Gakkai Zasshi 94:874–878

    CAS  PubMed  Google Scholar 

  • Oishi C, Baba T, Kubota Y, Shimotsuma Y, Kitamura K, Honma T, Ikegami A, Inokuchi M et al (2009) Two cases of gastric cancer expressing glypican 3, but producing AFP with different lectin affinity (in Japanese). Nippon Shokakibyo Gakkai Zasshi 106:805–812

    PubMed  Google Scholar 

  • Palas J, Ramalho M, Matos AP, Herédia V (2013) Case 194: periampullary hepatoid adenocarcinoma with duodenal invasion. Radiology 267:959–963

    Article  PubMed  Google Scholar 

  • Pan JH, Dong MJ, Ouyang XB (2011) A hepatoid adenocarcinoma of the stomach with liver metastasis mimicking hepatocellular carcinoma detected by F-18 FDG PET/CT imaging. Clin Nucl Med 36:1137–1139

    Article  PubMed  Google Scholar 

  • Pitman MB, Triratanachat S, Young RH, Oliva E (2004) Hepatocyte paraffin 1 antibody does not distinguish primary ovarian tumors with hepatoid differentiation from metastatic hepatocellular carcinoma. Int J Gynecol Pathol 23:58–64

    PubMed  Google Scholar 

  • Sakamoto K, Monobe Y, Kouno M, Moriya T, Sasano H (2004) Hepatoid adenocarcinoma of the gallbladder: case report and review of the literature. Pathol Int 54:52–56

    Article  PubMed  Google Scholar 

  • Sakamoto K, Kimura N, Tokumura H, Ogasawara T, Moriya T, Sasano H (2005) Hepatoid adenocarcinoma of the gallbladder. Histopathology 47:649–651

    Article  CAS  PubMed  Google Scholar 

  • Sentani K, Oue N, Sakamoto N, Arihiro K, Aoyagi K, Sasaki H, Yasui W (2008) Gene expression profiling with microarray and SAGE identifies PLUNC as a marker for hepatoid adenocarcinoma of the stomach. Mod Pathol 21:464–475

    Article  CAS  PubMed  Google Scholar 

  • St Laurent M, Esterl RM, Halff GA, Speeg KV (1999) Gallbladder carcinoma producing alpha-fetoprotein. J Clin Gastroenterol 28:55–58

    Article  Google Scholar 

  • Su JS, Chen YT, Wang RC, Wu CY, Lee SW, Lee TY (2013) Clinicopathological characteristics in the differential diagnosis of hepatoid adenocarcinoma: a literature review. World J Gastroenterol 19:321–327

    Article  PubMed  PubMed Central  Google Scholar 

  • Supriatna Y, Kishimoto T, Uno T, Nagai Y, Ishikura H (2005) Evidence for hepatocellular differentiation in alpha-fetoprotein-negative gastric adenocarcinoma with hepatoid morphology: a study with in situ hybridisation for albumin mRNA. Pathology 37:211–215

    Article  CAS  PubMed  Google Scholar 

  • Suzuki A, Koide N, Kitazawa M, Mochizuka A, Ota H, Miyagawa S (2012) Gastric composite tumor of alpha fetoprotein-producing carcinoma/hepatoid adenocarcinoma and endocrine carcinoma with reference to cellular phenotypes. Pathol Res Int 2012:201375

    Article  Google Scholar 

  • Terasaki S, Nakanuma Y, Terada T, Unoura M (1990) Metastasis of hepatocellular carcinoma to the gall bladder presenting massive intraluminal growth: report of an autopsy case. J Clin Gastroenterol 12:714

    Article  CAS  PubMed  Google Scholar 

  • Terracciano LM, Glatz K, Mhawech P, Vasei M, Lehmann FS, Vecchione R, Tornillo L (2003) Hepatoid adenocarcinoma with liver metastasis mimicking hepatocellular carcinoma: an immunohistochemical and molecular study of eight cases. Am J Surg Pathol 27:1302–1312

    Article  PubMed  Google Scholar 

  • Thamboo TP, Wee A (2004) Hep Par 1 expression in carcinoma of the cervix: implications for diagnosis and prognosis. J Clin Pathol 57:48–53

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ushiku T, Shinozaki A, Shibahara J, Iwasaki Y, Tateishi Y, Funata N, Fukayama M (2010) SALL4 represents fetal gut differentiation of gastric cancer, and is diagnostically useful in distinguishing hepatoid gastric carcinoma from hepatocellular carcinoma. Am J Surg Pathol 34:533–540

    Article  PubMed  Google Scholar 

  • Van den Bos IC, Hussain SM, Dwarkasing RS, Stoop H, Zondervan PE, Krestin GP, de Man RA (2007) Hepatoid adenocarcinoma of the gallbladder: a mimicker of hepatocellular carcinoma. Br J Radiol 80:e317–e320

    Article  PubMed  Google Scholar 

  • Vardaman C, Albores-Saavedra J (1995) Clear cell carcinoma of the gallbladder and extrahepatic bile ducts. Am J Surg Pathol 19:91–99

    Article  CAS  PubMed  Google Scholar 

  • Wang Y, Liu YY, Han GP (2013) Hepatoid adenocarcinoma of the extrahepatic duct. World J Gastroenterol 19:3524–3527

    Article  PubMed  PubMed Central  Google Scholar 

  • Watanabe M, Hori Y, Nojima T et al (1993) Alpha-fetoprotein producing carcinoma of the gallbladder. Dig Dis Sci 38:561–564

    Article  CAS  PubMed  Google Scholar 

  • Weng JM, Wu WQ, Liu QY (2009) Hepatoid adenocarcinoma of duodenal papilla: report of a case (in Chinese). Zhonghua Bing Li Xue Za Zhi 38:494

    PubMed  Google Scholar 

  • Yamamura N, Kishimoto T (2012) Epigenetic regulation of GATA4 expression by histone modification in AFP-producing gastric adenocarcinoma. Exp Mol Pathol 93:35–39

    Article  CAS  PubMed  Google Scholar 

  • Yoshida H, Mamada Y, Taniai N, Mizuguchi Y, Nakamura Y, Nomura T, Yoshioka M et al (2005) Ruptured metastatic liver tumor from an alpha-fetoprotein-producing gastric cancer. J Nippon Med Sch 72:236–241

    Article  PubMed  Google Scholar 

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Correspondence to Arthur Zimmermann .

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Zimmermann, A. (2017). Hepatoid Carcinomas (Adenocarcinomas with Hepatoid Features). In: Tumors and Tumor-Like Lesions of the Hepatobiliary Tract. Springer, Cham. https://doi.org/10.1007/978-3-319-26956-6_17

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  • DOI: https://doi.org/10.1007/978-3-319-26956-6_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26954-2

  • Online ISBN: 978-3-319-26956-6

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