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Orcein-positive hepatitis B surface antigen and liver carcinoma: their association in an Eastern US population.

Abstract
We retrospectively examined the association of hepatitis B infection and hepatocellular carcinoma (HCC) in a US East Coast population using orcein staining of fixed liver tissue. Hepatitis B surface antigen (HBsAg) was present in non-neoplastic hepatocytes in eight of 53 cases of HCC, but in no cases of cholangiocarcinoma or metastatic tumor. In five of the eight positive cases, macronodular cirrhosis was present; in three positive cases, cirrhosis was absent. The rate of positivity in livers with both HCC and macronodular cirrhosis was 28%, compared with 4.7% in livers with macronodular cirrhosis but no carcinoma. The low, but significant association of HBsAg and HCC, both in the presence and absence of cirrhosis, suggests that HCC may develop in a subset of patients in the United States as a result of infection with hepatitis B virus.
AuthorsA A Keshgegian, R H Ochs
JournalArchives of pathology & laboratory medicine (Arch Pathol Lab Med) Vol. 105 Issue 4 Pg. 190-3 (Apr 1981) ISSN: 0003-9985 [Print] United States
PMID6163416 (Publication Type: Journal Article, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Hepatitis B Surface Antigens
  • Oxazines
  • PAcein
Topics
  • Adenoma, Bile Duct (immunology)
  • Carcinoma, Hepatocellular (immunology)
  • Female
  • Hepatitis B (complications)
  • Hepatitis B Surface Antigens (isolation & purification)
  • Humans
  • Liver Cirrhosis (complications, immunology)
  • Liver Neoplasms (immunology)
  • Male
  • Oxazines
  • Retrospective Studies
  • Staining and Labeling

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