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Liver Cell Adenoma

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Comments:
LCAs related to androgenic steroid use may show cytologic abnormalities consisting of nuclear pleomorphism and atypia, multinucleation, prominent nucleoli, and/or an acinar (pseudoglandular) pattern. Activating beta-catenin gene mutations are present in 10-15% of LCA with cytologic atypia and acini and such cases are more likely to transform to hepatocellular carcinoma. Note the prominent cytoplasmic lipofuscin pigment, which is commonly seen in LCA.

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