Table 3 Differential diagnosis of well differentiated hepatocellular carcinoma from benign hepatocellular nodules

From: Neoplasms of the liver

 

Hepatocellular

Hepatocellular

Dysplastic

 

carcinoma

adenoma

nodule

Cirrhosis in surrounding liver

80%

0%

100%

Portal areas

Absent

Absent

Present

Growth patterns

Trabecular

Sheet-like

2-cell thick plates

 

Pseudoglandular

 

Nodule-in-nodule (high-grade)

 

Compact

  

Nuclear:cytoplasmic ratio

High

Low

Low

Nuclear pleomorphism

Present or absent

Absent

Absent

Nucleoli

Frequent

Absent

Absent

Mitoses

Occasional

Absent

Absent

Vascular invasion

Frequent

Absent

Absent

Stains

   

 Reticulin

Decreased

Present

Present

 CD34

Diffuse

Variable

Periseptal