Abstract :
This is a case report of 52-year-old healthy male who was found two liver nodules in the right lobe during
routine checkup. The physical examinations and laboratory investigations were unremanable. Core biopsy of the
liver was done and the diagnosis of metastatic adenocarcinoma was suggested without a definite primary lesion.
Since cholangiocarcinoma was suspected, subsegmently, partial hepatectomy and segmentectomy, segment 4, 6,
and 7, was performed. Additional intraoperative findings were two peritoneal nodules in one kidney and duode-
num. The hepatoduodenal and common hepatic lymph nodes were also enlarged.
Gross examination revealed light brown nodular lesions ranging from 2 to 2.3 cm in the right lobe and a
gray white nodule, 0.6 cm in the greatest dimension, in the segment 4 of the liver. Histologic examination dis-
played expanding tumors comprised of epithelioid neoplastic cells in fibromyxoid stroma which may be difficult to
distinguish from other carcinoma such as, cholangiocarcinoma, metastatic adenocarcinoma, and undifferentiated
sarcoma.
[Thai J Gastroenterol 2004; 5(2): 139-143] |
file/Thai-Journal-of-gastroenterology-vol-5-no-2-228223.pdf