Pseudosarcomatous cystadenocarcinoma of the liver

Pamela D. Unger, Swan N. Thung, Mamoru Kaneko

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Abstract

A case of papillary cystadenocarcinoma with spindle (pseudosarcomatous) metaplasia of the liver is described in a 64-year-old woman. This tumor was solitary, multiloculated, and had a fibrous pseudocapsule. It was composed of undifferentiated malignant epithelial cells, which lined cystic spaces, with sarcomatous cells underneath. Immunohistochemical studies showed no detectable α-feto-protein in the tumor; keratin was present in epithelial and spindle tumor cells, and α1-antitrypsin was present in cytoplasm of many tumor cells. Intracytoplasmic periodic acid-Schiff-positive, diastase-resistant globules, some of them reactive for α1-antitrypsin, were seen. A primary liver tumor with this histology has not been described previously in the literature.

Original languageEnglish
Pages (from-to)521-523
Number of pages3
JournalHuman Pathology
Volume18
Issue number5
DOIs
StatePublished - May 1987

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