2006
DOI: 10.1097/01.pai.0000208906.66618.61
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α-Methylacyl-CoA Racemase (AMACR/P504S) Can Distinguish Hepatocellular Carcinoma and Dysplastic Hepatocytes From Benign Nondysplastic Hepatocytes

Abstract: Immunohistochemical staining with alpha-methylacyl-CoA racemase AMACR (P504S) has been described in a number of normal tissues and was found to be useful for detecting malignancies including hepatocellular carcinoma (HCC). Our aim was to determine whether AMACR is differentially expressed in benign nondysplastic liver tissue, hepatocellular dysplasia, and HCC. The study material consisted of paraffin blocks containing primary HCC and surrounding liver tissue from 20 patients who underwent hepatectomy at the ti… Show more

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Cited by 18 publications
(14 citation statements)
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“…A staining index for each tissue core was obtained based on published methods [55]. The immuno-histochemical staining intensity of the nuclei or cytoplasm was assessed using a three tier grading system (weak or no staining = 0, moderate staining = 1, strong staining = 2) and the extent of stained nuclear positive cells (0-50%=1, 50-100%=2).…”
Section: Methodsmentioning
confidence: 99%
“…A staining index for each tissue core was obtained based on published methods [55]. The immuno-histochemical staining intensity of the nuclei or cytoplasm was assessed using a three tier grading system (weak or no staining = 0, moderate staining = 1, strong staining = 2) and the extent of stained nuclear positive cells (0-50%=1, 50-100%=2).…”
Section: Methodsmentioning
confidence: 99%
“…There are also some reports regarding the correlations between the expression of AMACR and the diagnostic potential for HCC. Guzman et al 9 have reported that AMACR could distinguish the HCC and the dysplastic hepatocytes from the benign nondysplastic hepatocytes based on the different staining patterns, but the sensitivity was not mentioned in this report; Li et al 10 have reported that AMACR could serve as a useful marker for distinguishing the well-differentiated HCC from the hepatocellular adenoma, and the AMACR might play a role in HCC development and progression. However, there has been conflicting reports in other studies where it was found that AMACR may not be a suitable marker; Willemoe et al 11 have reported that the staining patterns and staining intensities of AMACR in HCC tumour cells were not significantly different from the surrounding none tumour cells, and the AMACR staining could not distinguish the neoplastic from non-neoplastic liver cells.…”
Section: Introductionmentioning
confidence: 68%
“…24,27,32,33 AMACR im mu nos ta i ning dis tin gu is hed nondy splas tic be nign he pa tocy tes from dysplas tic and malig nant he pa tocy tes, and high gra de dyspla si a from re ac ti ve aty pi a in Bar ret esop ha gus. 34,35 In the pre sent study, nor mal urot he li um did not show po si tive sta i ning with AMACR as in the pre vi o us stu di es. In the study of Went et al, 20 nor mal urot he li um was not sta i ned with AMACR, but AMACR expres si on was fo und in 15% of 41 in va si ve UC and 11% of 44 non-in va si ve UC.…”
Section: Discussionmentioning
confidence: 99%