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Case Study
Adrenal Cortical Neoplasm with Uncertain Malignant Potential Arising in the Heterotopic Adrenal Cortex in the Liver of a Patient with Beckwith-Wiedemann Syndrome
Eun Na Kim, Dong Eun Song, Hee Mang Yoon, Beom Hee Lee, Chong Jai Kim
J Pathol Transl Med. 2019;53(2):129-135.   Published online November 26, 2018
DOI: https://doi.org/10.4132/jptm.2018.11.13
  • 5,617 View
  • 108 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract PDF
Patients with Beckwith-Wiedemann syndrome (BWS) are predisposed to developing embryonal tumors, with hepatoblastoma being the most common type. Our patient showed hemihypertrophy, macroglossia, and paternal uniparental disomy in chromosome 11 and was diagnosed with BWS. When the patient was 9 months old, a 2.5×1.5 cm oval hypoechoic exophytic mass was detected in the inferior tip of his right liver. Preoperative imaging identified it as hepatoblastoma; however, histologic, immunohistochemistry, and electron microscopic findings were compatible with adrenal cortical neoplasm with uncertain malignant potential. The origin of the adrenal tissue seemed to be heterotopic. Here, we describe for the first time an adrenal cortical neoplasm with uncertain malignant potential arising in the heterotopic adrenal cortex located in the liver of a patient with BWS.

Citations

Citations to this article as recorded by  
  • Functional adrenocortical carcinoma with adrenohepatic fusion: A case report
    Pastor Escárcega-Fujigaki, Guillermo Hernández-Peredo Rezk, José de Jesús Loeza- Oliva, Anallely Luna-Hernández, Bethsaida Natali Arreguín-Cortés, Rafael López-Cruz
    Journal of Pediatric Surgery Case Reports.2024; 107: 102841.     CrossRef
  • Beckwith–Wiedemann syndrome: Clinical, histopathological and molecular study of two Tunisian patients and review of literature
    Hela Sassi, Yasmina Elaribi, Houweyda Jilani, Imen Rejeb, Syrine Hizem, Molka Sebai, Nadia Kasdallah, Habib Bouthour, Samia Hannachi, Jasmin Beygo, Ali Saad, Karin Buiting, Dorra H’mida Ben‐Brahim, Lamia BenJemaa
    Molecular Genetics & Genomic Medicine.2021;[Epub]     CrossRef
  • Adrenocortical Tumors in Children With Constitutive Chromosome 11p15 Paternal Uniparental Disomy: Implications for Diagnosis and Treatment
    Emilia Modolo Pinto, Carlos Rodriguez-Galindo, Catherine G. Lam, Robert E. Ruiz, Gerard P. Zambetti, Raul C. Ribeiro
    Frontiers in Endocrinology.2021;[Epub]     CrossRef
Brief Case Report
Wharton Jelly Hair in a Case of Umbilical Cord Stricture and Fetal Death
Eun Na Kim, Jae-Yoon Shim, Chong Jai Kim
J Pathol Transl Med. 2019;53(2):145-147.   Published online November 14, 2018
DOI: https://doi.org/10.4132/jptm.2018.10.24
  • 8,350 View
  • 121 Download
  • 2 Web of Science
  • 2 Crossref
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Citations

Citations to this article as recorded by  
  • Histomorphometric analysis of Wharton's jelly size in pregnancies with normal and pre-eclamptic conditions, and its relation to baby weight
    Ankit Jain, Rashmi Jain, Amarjyoti Chaturvedi
    Indian Journal of Obstetrics and Gynecology Research.2024; 11(4): 647.     CrossRef
  • Loss of Wharton's jelly and fibrosis in umbilical cord stricture area: A case report
    Alžbeta Blichárová, Ľudmila Verbóová, Zuzana Benetinová, Tibor Mátyás, Richard Bašista, Vladimír Tancoš, Patrícia Kollárová
    Journal of Forensic and Legal Medicine.2023; 96: 102512.     CrossRef
Original Articles
C-reactive Protein Overexpression in the Background Liver of Hepatitis B Virus–Associated Hepatocellular Carcinoma Is a Prognostic Biomarker
Jin Ho Shin, Eunsil Yu, Eun Na Kim, Chong Jai Kim
J Pathol Transl Med. 2018;52(5):267-274.   Published online July 27, 2018
DOI: https://doi.org/10.4132/jptm.2018.07.14
  • 6,570 View
  • 175 Download
  • 5 Web of Science
  • 6 Crossref
AbstractAbstract PDF
Background
Chronic hepatitis B virus (HBV) infection is a leading cause of hepatocellular carcinoma (HCC). Peripheral blood C-reactive protein (CRP) concentration and CRP overexpression in HCC cells are proven to be prognostic markers for HCC, but the significance of CRP expression in non-neoplastic hepatocytes, which are the primary origin of CRP, has not been studied. This study was conducted to determine the clinicopathologic significance of CRP immunoreactivity in the background liver of HBV-associated HCC.
Methods
CRP immunostaining was done on tissue microarrays of non-neoplastic liver tissues obtained from surgically resected, treatment-naïve HBV-associated HCCs (n = 156). The relationship between CRP immunoreactivity and other clinicopathologic parameters including cancer-specific survival was analyzed. CRP immunoreactivity was determined using a 4-tier grading system: grades 0, 1, 2, and 3.
Results
CRP was positive in 139 of 156 cases (89.1%) of non-neoplastic liver in patients with HCCs: grade 1 in 83 cases (53.2%); grade 2 in 50 cases (32.1%); and grade 3 in six cases (3.8%). The patients with diffuse CRP immunoreactivity (grade 3) had decreased cancer-specific survival (p = .031) and a tendency for shorter interval before early recurrence (p = .050). The degree of CRP immunoreactivity correlated with serum CRP concentration (p < .001).
Conclusions
CRP immunoreactivity in non-neoplastic liver is a novel biomarker for poor cancer-specific survival of HBV-associated HCC and correlates with serum CRP concentration.

Citations

Citations to this article as recorded by  
  • Analysis of Inflammatory and Thyroid Hormone Levels Based on Hepatitis A and B Virus Immunity Status: Age and Sex Stratification
    Hyeokjun Yun, Jae-Sik Jeon, Jae Kyung Kim
    Viruses.2024; 16(8): 1329.     CrossRef
  • Ferritin and procalcitonin serve as discriminative inflammatory biomarkers and can predict the prognosis of severe fever with thrombocytopenia syndrome in its early stages
    Keping Chen, Huidi Sun, Yu Geng, Chuankun Yang, Chun Shan, Yuxin Chen
    Frontiers in Microbiology.2023;[Epub]     CrossRef
  • Evaluation of Serum Ferritin, Procalcitonin, and C-Reactive Protein for the Prediction of Severity and Mortality in Hemorrhagic Fever With Renal Syndrome
    Lihe Che, Zedong Wang, Na Du, Liang Li, Yinghua Zhao, Kaiyu Zhang, Quan Liu
    Frontiers in Microbiology.2022;[Epub]     CrossRef
  • Hepatocellular adenomas: recent updates
    Haeryoung Kim, Young Nyun Park
    Journal of Pathology and Translational Medicine.2021; 55(3): 171.     CrossRef
  • A prospective follow-up study of the relationship between high-sensitivity C-reactive protein and primary liver cancer
    Sarah Tan Siyin, Tong Liu, Wenqiang Li, Nan Yao, Guoshuai Xu, Jun Qu, Yajun Chen
    BMC Cancer.2020;[Epub]     CrossRef
  • CRP Levels in Viral Hepatitis: A Meta-Analysis Study
    Sukhpal Singh, Abhishek Bansal, Pardeep Kumar
    International Journal of Infection.2020;[Epub]     CrossRef
Chronic Placental Inflammation as a Risk Factor of Severe Retinopathy of Prematurity
Chae Young Kim, Euiseok Jung, Eun Na Kim, Chong Jai Kim, Joo Yong Lee, Ji Hye Hwang, Woo Sun Song, Byong Sop Lee, Ellen Ai-Rhan Kim, Ki-Soo Kim
J Pathol Transl Med. 2018;52(5):290-297.   Published online July 16, 2018
DOI: https://doi.org/10.4132/jptm.2018.07.09
  • 10,393 View
  • 124 Download
  • 15 Web of Science
  • 14 Crossref
AbstractAbstract PDF
Background
Chronic placental inflammation (CPI) has been implicated in the pathogenesis of diseases in premature infants, whereas retinopathy of prematurity (ROP) is a major complication primarily affecting preterm and very low-birth-weight (VLBW) infants. This study aims to investigate the association between CPI and ROP in VLBW infants.
Methods
We performed a retrospective review of clinical records of VLBW infants born between 2013 and 2016. Placental pathology findings including CPI cases were analyzed using logistic regression to study infants’ morbidities and other clinical characteristics.
Results
A total of 402 infants with a mean (standard deviation) gestational age of 28.5 (2.8) weeks and birth weight of 1,027.2 (304.4) g were included. The incidence of ROP was 24.1%. CPI was found in 90 infants (22.4%), among which 28.9% (26 of 90) developed ROP, and 21.1% (19 of 90) underwent laser photocoagulation. Lower gestational age, lower birth weight, longer duration of oxygen supply, and presence of CPI were associated with the development of ROP. After adjustment for gestational age, birth weight, sex, duration of oxygen supply, and other overlapping placental pathology, CPI was associated with the odds for type 1 ROP that required laser photocoagulation (adjusted odds ratio, 2.739; 95% confidence interval, 1.112 to 6.749; p = .029).
Conclusions
CPI was associated with severe ROP requiring treatment with laser photocoagulation in VLBW infants.

Citations

Citations to this article as recorded by  
  • Retinopathy prematurity: a systematic review and meta-analysis study based on neonatal and maternal risk factors
    Tahereh Bahmani, Arezoo Karimi, Nazanin Rezaei, Salman Daliri
    The Journal of Maternal-Fetal & Neonatal Medicine.2024; 35(25): 8032.     CrossRef
  • Histological Chorioamnionitis and Funisitis as New Risk Factors for Retinopathy of Prematurity: A Meta-analysis
    Salma El Emrani, Esther J.S. Jansen, Jelle J. Goeman, Enrico Lopriore, Jacqueline U.M. Termote, Nicoline E. Schalij-Delfos, Lotte E. van der Meeren
    American Journal of Perinatology.2024; 41(S 01): e3264.     CrossRef
  • Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study
    Sam Ebenezer Athikarisamy, Geoffrey C. Lam, Matthew N. Cooper, Tobias Strunk
    Frontiers in Pediatrics.2023;[Epub]     CrossRef
  • Identification of clinical factors associated with timing and duration of spontaneous regression of retinopathy of prematurity not requiring treatment
    Jamee Schoephoerster, Sydney Roston, Scott Lunos, Sara E. Ramel, Jill Anderson, Michael K. Georgieff, Ellen C. Ingolfsland
    Journal of Perinatology.2023; 43(6): 702.     CrossRef
  • Ocular Vascular Diseases: From Retinal Immune Privilege to Inflammation
    Xudong Wang, Tianxi Wang, Enton Lam, David Alvarez, Ye Sun
    International Journal of Molecular Sciences.2023; 24(15): 12090.     CrossRef
  • The potential of marine resources for retinal diseases: a systematic review of the molecular mechanisms
    Kristin Krueger, Elke Boehme, Alexa Karina Klettner, Marietta Zille
    Critical Reviews in Food Science and Nutrition.2022; 62(27): 7518.     CrossRef
  • Diallyl Trisulfide Promotes Placental Angiogenesis by Regulating Lipid Metabolism and Alleviating Inflammatory Responses in Obese Pregnant Mice
    Miaomiao Wang, Zhaoyu Wang, Yueyue Miao, Hongkui Wei, Jian Peng, Yuanfei Zhou
    Nutrients.2022; 14(11): 2230.     CrossRef
  • Risk factors for the development of retinopathy in premature infants
    O.Yu. Obolonska, L.I. Vakulenko, L.P. Badogina, O.I. Obolonskyi, I.A. Likhachova, O.V. Kovryga
    CHILD`S HEALTH.2022; 17(3): 138.     CrossRef
  • Development of the genomic inflammatory index (GII) to assess key maternal antecedents associated with placental inflammation
    Kirsi S. Oldenburg, Lauren A. Eaves, Lisa Smeester, Hudson P. Santos, T. Michael O'Shea, Rebecca C. Fry
    Placenta.2021; 111: 82.     CrossRef
  • Risk Factors Associated with Retinopathy of Prematurity in Very and Extremely Preterm Infants
    Claudia Ioana Borțea, Florina Stoica, Marioara Boia, Emil Radu Iacob, Mihai Dinu, Roxana Iacob, Daniela Iacob
    Medicina.2021; 57(5): 420.     CrossRef
  • Efficacy of Aflibercept Treatment and Its Effect on the Retinal Perfusion in the Oxygen-Induced Retinopathy Mouse Model of Retinopathy of Prematurity
    Sarina M. Amin, Andres Gonzalez, Jade Guevara, Charlotte Bolch, Lorick Andersen, W. Clay Smith, Swati Agarwal-Sinha
    Ophthalmic Research.2021; 64(1): 91.     CrossRef
  • A pilot randomised clinical trial of 670 nm red light for reducing retinopathy of prematurity
    Alison L. Kent, Mohamed E. Abdel-Latif, Timothy Cochrane, Margaret Broom, Jane E. Dahlstrom, Rohan W. Essex, Bruce Shadbolt, Riccardo Natoli
    Pediatric Research.2020; 87(1): 131.     CrossRef
  • Exercise prevents the adverse effects of maternal obesity on placental vascularization and fetal growth
    Jun Seok Son, Xiangdong Liu, Qiyu Tian, Liang Zhao, Yanting Chen, Yun Hu, Song Ah Chae, Jeanene M. de Avila, Mei‐Jun Zhu, Min Du
    The Journal of Physiology.2019; 597(13): 3333.     CrossRef
  • Cumulative evidence for association of sepsis and retinopathy of prematurity
    Jichong Huang, Ying Tang, Tingting Zhu, Yafei Li, Hua Chun, Yi Qu, Dezhi Mu
    Medicine.2019; 98(42): e17512.     CrossRef
Diagnostic Significance of Cellular Neuroglial Tissue in Ovarian Immature Teratoma
Yun Chai, Chang Gok Woo, Joo-Young Kim, Chong Jai Kim, Shin Kwang Khang, Jiyoon Kim, In Ah Park, Eun Na Kim, Kyu-Rae Kim
J Pathol Transl Med. 2017;51(1):49-55.   Published online October 14, 2016
DOI: https://doi.org/10.4132/jptm.2016.09.19
  • 14,366 View
  • 436 Download
  • 6 Web of Science
  • 8 Crossref
AbstractAbstract PDF
Background
Immature teratoma (IT) is a tumor containing immature neuroectodermal tissue, primarily in the form of neuroepithelial tubules. However, the diagnosis of tumors containing only cellular neuroglial tissue (CNT) without distinct neuroepithelial tubules is often difficult, since the histological characteristics of immature neuroectodermal tissues remain unclear. Here, we examined the significance of CNT and tried to define immature neuroectodermal tissues by comparing the histological features of neuroglial tissues between mature teratoma (MT) and IT.
Methods
The histological features of neuroglial tissue, including the cellularity, border between the neuroglial and adjacent tissues, cellular composition, mitotic index, Ki-67 proliferation rate, presence or absence of tissue necrosis, vascularity, and endothelial hyperplasia, were compared between 91 MT and 35 IT cases.
Results
CNTs with a cellularity grade of ≥ 2 were observed in 96% of IT cases and 4% of MT cases (p < .001); however, CNT with a cellularity grade of 3 in MT cases was confined to the histologically distinct granular layer of mature cerebellar tissue. Moreover, CNT in IT exhibited significantly higher rates of Ki-67 proliferation, mitoses, and necrosis than those in MT (p < .001). Furthermore, an infiltrative border of neuroglial tissue and glomeruloid endothelial hyperplasia were significantly more frequent in IT cases than in MT cases (p < .001).
Conclusions
Our results suggest that if CNT with a cellularity grade of ≥ 2 is not a component of cerebellar tissue, such cases should be diagnosed as IT containing immature neuroectodermal tissue, particularly if they exhibit an infiltrative border, mitoses, necrosis, and increased Ki-67 proliferation.

Citations

Citations to this article as recorded by  
  • An Atypical Presentation of a Pediatric Mature Teratoma: A Case Report and Review of the Literature
    Ahmed M Othman, Abdulaziz A Abu Alnasr, Reem E Kordi, Shahad A Abu Alnasr
    Cureus.2024;[Epub]     CrossRef
  • Immature Teratoma: Diagnosis and Management—A Review of the Literature
    Liviu Moraru, Melinda-Ildiko Mitranovici, Diana Maria Chiorean, Marius Coroș, Raluca Moraru, Ioan Emilian Oală, Sabin Gligore Turdean
    Diagnostics.2023; 13(9): 1516.     CrossRef
  • Congenital Immature Grade ΙΙΙ Teratoma of the Neck: A Case Report
    Nazneen Liaqat, Israr Ud Din, Zeeshan Ali, Majid Rashid, Afsheen Liaqat
    Cureus.2023;[Epub]     CrossRef
  • Benign ovarian teratoma in the dog with predominantly nervous tissue: A case report
    P Makovicky, AV Makarevich, P Makovicky, A Seidavi, L Vannucci, K Rimarova
    Veterinární medicína.2022; 67(2): 99.     CrossRef
  • Fascin as a Useful Marker for Identifying Neural Components in Immature Teratomas of Human Ovary and Those Derived From Murine Embryonic Stem Cells
    Ryunosuke Umehara, Atsushi Kurata, Masakatsu Takanashi, Hirotsugu Hashimoto, Koji Fujita, Toshitaka Nagao, Masahiko Kuroda
    International Journal of Gynecological Pathology.2019; 38(4): 377.     CrossRef
  • Cerebellar Differentiation in Ovarian Teratoma: A Report of 6 Cases
    Colin J.R. Stewart, Maxine L. Crook
    International Journal of Gynecological Pathology.2018; 37(4): 316.     CrossRef
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    Pavel A. Dyban
    Medical academic journal.2018; 18(4): 42.     CrossRef
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    Ting Zhao, Yan Liu, Xiao Wang, Hao Zhang, Yuan Lu
    Journal of International Medical Research.2017; 45(2): 771.     CrossRef
Case Study
A Pyloric Gland-Phenotype Ovarian Mucinous Tumor Resembling Lobular Endocervical Glandular Hyperplasia in a Patient with Peutz-Jeghers Syndrome
Eun Na Kim, Gu-Hwan Kim, Jiyoon Kim, In Ah Park, Jin Ho Shin, Yun Chai, Kyu-Rae Kim
J Pathol Transl Med. 2017;51(2):159-164.   Published online August 22, 2016
DOI: https://doi.org/10.4132/jptm.2016.07.01
  • 8,066 View
  • 206 Download
  • 7 Web of Science
  • 6 Crossref
AbstractAbstract PDF
We describe an ovarian mucinous neoplasm that histologically resembles lobular endocervical glandular hyperplasia (LEGH) containing pyloric gland type mucin in a patient with Peutz-Jeghers syndrome (PJS). Although ovarian mucinous tumors rarely occur in PJS patients, their pyloric gland phenotype has not been clearly determined. The histopathologic features of the ovarian mucinous tumor were reminiscent of LEGH. The cytoplasmic mucin was stained with periodic acid-Schiff reaction after diastase treatment but was negative for Alcian blue pH 2.5, suggesting the presence of neutral mucin. Immunohistochemically, the epithelium expressed various gastric markers, including MUC6, HIK1083, and carbonic anhydrase-IX. Multiple ligation-dependent probe amplification detected a germline heterozygous deletion mutation at exons 1–7 of the STK11 gene (c.1-?_920+?del) in peripheral blood leukocytes and mosaic loss of heterozygosity in ovarian tumor tissue. Considering that LEGH and/or gastric-type cervical adenocarcinoma can be found in patients with PJS carrying germline and/or somatic STK11 mutations, our case indicates that STK11 mutations have an important role in the proliferation of pyloric-phenotype mucinous epithelium at various anatomical locations.

Citations

Citations to this article as recorded by  
  • Ovarian Mucinous Tumor Presenting Atypical Lobular Endocervical Glandular Hyperplasia-Like Appearance in a Patient With Germline STK11 p.F354L Variant: A Case Report
    Hiroshi Yoshida, Kengo Hiranuma, Mariko Nakahara, Mayumi Kobayashi-Kato, Yasuhito Tanase, Masaya Uno, Kouya Shiraishi, Mitsuya Ishikawa, Tomoyasu Kato
    International Journal of Surgical Pathology.2024; 32(2): 394.     CrossRef
  • Preoperative multimodal ultrasonic imaging in a case of Peutz-Jeghers syndrome complicated by atypical lobular endocervical glandular hyperplasia: a case report and literature review
    Liwen Yang, Duan Duan, Ying Xiong, Tianjiao Liu, Lijun Zhao, Fan Lai, Dingxian Gu, Liuying Zhou
    Hereditary Cancer in Clinical Practice.2024;[Epub]     CrossRef
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    Richard W‐C Wong, Karen L Talia, W Glenn McCluggage
    Histopathology.2024; 85(1): 20.     CrossRef
  • Gastric-phenotype Mucinous Carcinoma of the Fallopian Tube with Secondary Ovarian Involvement in a Woman with Peutz-Jeghers Syndrome: A Case Report
    Mónica Bronte Anaut, Javier Arredondo Montero, Maria Pilar Fernández Seara, Rosa Guarch Troyas
    International Journal of Surgical Pathology.2023; 31(1): 92.     CrossRef
  • Molecular characterization of gastric-type endocervical adenocarcinoma using next-generation sequencing
    Swati Garg, Teddy S. Nagaria, Blaise Clarke, Orit Freedman, Zanobia Khan, Joerg Schwock, Marcus Q. Bernardini, Amit M. Oza, Kathy Han, Adam C. Smith, Tracy L. Stockley, Marjan Rouzbahman
    Modern Pathology.2019; 32(12): 1823.     CrossRef
  • The developing spectrum of gastric-type cervical glandular lesions
    Karen L. Talia, W. Glenn McCluggage
    Pathology.2018; 50(2): 122.     CrossRef

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