Histopathological growth patterns of liver metastasis: Updated consensus guidelines for pattern scoring, perspectives and recent mechanistic insights Review


Authors: Latacz, E.; Höppener, D.; Bohlok, A.; Leduc, S.; Tabariès, S.; Fernández Moro, C.; Lugassy, C.; Nyström, H.; Bozóky, B.; Floris, G.; Geyer, N.; Brodt, P.; Llado, L.; Van Mileghem, L.; De Schepper, M.; Majeed, A. W.; Lazaris, A.; Dirix, P.; Zhang, Q.; Petrillo, S. K.; Vankerckhove, S.; Joye, I.; Meyer, Y.; Gregorieff, A.; Roig, N. R.; Vidal-Vanaclocha, F.; Denis, L.; Oliveira, R. C.; Metrakos, P.; Grünhagen, D. J.; Nagtegaal, I. D.; Mollevi, D. G.; Jarnagin, W. R.; D’Angelica, M. I.; Reynolds, A. R.; Doukas, M.; Desmedt, C.; Dirix, L.; Donckier, V.; Siegel, P. M.; Barnhill, R.; Gerling, M.; Verhoef, C.; Vermeulen, P. B.
Review Title: Histopathological growth patterns of liver metastasis: Updated consensus guidelines for pattern scoring, perspectives and recent mechanistic insights
Abstract: The first consensus guidelines for scoring the histopathological growth patterns (HGPs) of liver metastases were established in 2017. Since then, numerous studies have applied these guidelines, have further substantiated the potential clinical value of the HGPs in patients with liver metastases from various tumour types and are starting to shed light on the biology of the distinct HGPs. In the present guidelines, we give an overview of these studies, discuss novel strategies for predicting the HGPs of liver metastases, such as deep-learning algorithms for whole-slide histopathology images and medical imaging, and highlight liver metastasis animal models that exhibit features of the different HGPs. Based on a pooled analysis of large cohorts of patients with liver-metastatic colorectal cancer, we propose a new cut-off to categorise patients according to the HGPs. An up-to-date standard method for HGP assessment within liver metastases is also presented with the aim of incorporating HGPs into the decision-making processes surrounding the treatment of patients with liver-metastatic cancer. Finally, we propose hypotheses on the cellular and molecular mechanisms that drive the biology of the different HGPs, opening some exciting preclinical and clinical research perspectives. © 2022, The Author(s), under exclusive licence to Springer Nature Limited.
Keywords: liver neoplasms; animal; animals; pathology; colorectal neoplasms; colorectal tumor; liver tumor
Journal Title: British Journal of Cancer
Volume: 127
Issue: 6
ISSN: 0007-0920
Publisher: Nature Publishing Group  
Date Published: 2022-10-05
Start Page: 988
End Page: 1013
Language: English
DOI: 10.1038/s41416-022-01859-7
PUBMED: 35650276
PROVIDER: scopus
PMCID: PMC9470557
DOI/URL:
Notes: Review -- Export Date: 3 October 2022 -- Source: Scopus
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  1. William R Jarnagin
    903 Jarnagin