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Publication Name World Journal of Gastrointestinal Oncology
Manuscript ID 116955
Country Italy
Received
2025-12-02 02:04
Peer-Review Started
2025-12-02 02:04
First Decision by Editorial Office Director
2025-12-09 10:07
Return for Revision
2025-12-10 13:51
Revised
2025-12-16 10:39
Publication Fee Transferred
2026-01-08 08:45
Second Decision by Editor
2026-02-28 02:30
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-28 08:12
Articles in Press
2026-02-28 08:12
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-03-27 03:50
Publish the Manuscript Online
2026-04-08 07:28
ISSN 1948-5204 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Oncology
Manuscript Type Case Report
Article Title Uncommon hepatocellular carcinoma in a non-cirrhotic woman with chronic hepatitis B virus infection after medical assisted reproduction: A case report
Manuscript Source Unsolicited Manuscript
All Author List Clelia Asero, Giuliana Ciappina, Maria Stella Franzè, Teresa Maltese, Salvatore Gruttadauria, Duilio Pagano, Daniele Lombardo, Alessia Pitrone, Cristina Musolino, Massimiliano Berretta and Irene Cacciola
ORCID
Author(s) ORCID Number
Clelia Asero http://orcid.org/0000-0003-0427-6963
Giuliana Ciappina http://orcid.org/0000-0003-0813-3126
Maria Stella Franzè http://orcid.org/0000-0002-9815-5275
Teresa Maltese http://orcid.org/0009-0008-3342-5781
Salvatore Gruttadauria http://orcid.org/0000-0002-9684-8035
Duilio Pagano http://orcid.org/0000-0003-3987-9262
Daniele Lombardo http://orcid.org/0000-0001-9671-5622
Alessia Pitrone http://orcid.org/0000-0003-2278-0696
Cristina Musolino http://orcid.org/0000-0002-9684-4579
Massimiliano Berretta http://orcid.org/0000-0002-9837-9148
Irene Cacciola http://orcid.org/0000-0001-7721-6799
Funding Agency and Grant Number
Funding Agency Grant Number
Ministero dell’Università e della Ricerca PRIN_2022PNRR_P2022KCHLN_002 - CUP J53D23018010001
Ministero dell’Università e della Ricerca CUP J43C22000310006 ID ECS00000022
Corresponding Author Irene Cacciola, MD, Professor, Department of Clinical and Experimental Medicine, University of Messina, Via Consolare Valeria 1, Messina 98124, Sicilia, Italy. icacciola@unime.it
Key Words Hepatocellular carcinoma; Chronic hepatitis B; Pregnancy; Reproductive techniques; Oestrogens; Case report
Core Tip Hepatocellular carcinoma is rare during pregnancy and is associated with adverse outcomes for both the mother and the foetus. We report the case of a 46-year-old woman with HBeAg-negative chronic hepatitis B infection (HBV) who developed recurrent hepatocellular carcinoma after a pregnancy achieved through medically assisted reproduction. After surgical resection, immunofluorescence analysis of tumour samples showed no expression of oestrogen receptors, while molecular analyses performed on tumour and non-tumour tissues revealed high levels of total HBV DNA, HBV covalently closed circular DNA and HBV RNA, suggesting a virus-host interaction that may account for the aggressive behaviour of the neoplasm.
Publish Date 2026-04-08 07:28
Citation

Asero C, Ciappina G, Franzè MS, Maltese T, Gruttadauria S, Pagano D, Lombardo D, Pitrone A, Musolino C, Berretta M, Cacciola I. Uncommon hepatocellular carcinoma in a non-cirrhotic woman with chronic hepatitis B virus infection after medical assisted reproduction: A case report. World J Gastrointest Oncol 2026; 18(4): 116955

URL https://www.wjgnet.com/1948-5204/full/v18/i4/116955.htm
DOI https://dx.doi.org/10.4251/wjgo.v18.i4.116955
Full Article (PDF) WJGO-18-116955-with-cover.pdf
CARE Checklist–2016 116955-CARE-Checklist-2016.pdf
Manuscript File 116955_Auto_Edited_102302.docx
Answering Reviewers 116955-answering-reviewers.pdf
Audio Core Tip 116955-audio.ogg
Conflict-of-Interest Disclosure Form 116955-conflict-of-interest-statement.pdf
Copyright License Agreement 116955-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 116955-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 116955-non-native-speakers.pdf
Peer-review Report 116955-peer-reviews.pdf
Scientific Misconduct Check 116955-scientific-misconduct-check.png
Scientific Editor Work List 116955-scientific-editor-work-list.pdf
CrossCheck Report 116955-crosscheck-report.pdf