Difference between revisions of "Liver neoplasms"

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*[http://commons.wikimedia.org/wiki/File:Hepatic_adenoma_low_mag_reticulin.jpg Hepatic adenoma - reticulin (WC)].
*[http://commons.wikimedia.org/wiki/File:Hepatic_adenoma_low_mag_reticulin.jpg Hepatic adenoma - reticulin (WC)].
*[http://www.pathconsultddx.com/pathCon/largeImage?pii=S1559-8675(06)71565-0&figureId=fig2 Hepatic adenoma (pathconsultddx.com)].
*[http://www.pathconsultddx.com/pathCon/largeImage?pii=S1559-8675(06)71565-0&figureId=fig2 Hepatic adenoma (pathconsultddx.com)].
*[http://www.ajronline.org/cgi/content-nw/full/182/6/1520/FIG3 Hep. adenoma (ajronline.org)].
*[http://www.ajronline.org/cgi/content-nw/full/182/6/1520/FIG3 Hepatic adenoma (ajronline.org)].
*[http://radiographics.rsna.org/content/22/5/1023.figures-only Series of liver micrographs including hepatic adenoma (radiographics.rsna.org)].
*[http://radiographics.rsna.org/content/22/5/1023.figures-only Series of liver micrographs including hepatic adenoma (radiographics.rsna.org)].


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Varied architecture - may be:<ref>GLP P.590-1.</ref>
Varied architecture - may be:<ref>GLP P.590-1.</ref>
*Pseudoglandular - can be confused with adenocarcinoma,
*Pseudoglandular - can be confused with adenocarcinoma.
*Trabecular,
*Trabecular.
*Fibrolamellar,
*Fibrolamellar.
*Solid.
*Solid.


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ASIDE:
ASIDE:
*''Trabecula'' = ''little beam''.
*''Trabecula'' = ''little beam''.
Images:
*[http://commons.wikimedia.org/wiki/File:Hepatocellular_carcinoma_low_mag.jpg HCC - low mag. (WC)].
*[http://commons.wikimedia.org/wiki/File:Hepatocellular_carcinoma_intermed_mag.jpg HCC - intermed mag. (WC)].


====Fibrolamellar HCC====
====Fibrolamellar HCC====
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*HepPar-1 +ve; may be neg. in high grade tumours.
*HepPar-1 +ve; may be neg. in high grade tumours.
*AFP +ve; may be neg. even if the serum AFP is elevated.
*AFP +ve; may be neg. even if the serum AFP is elevated.
*CK18 +ve<ref>AP 28 May 2009.</ref>
*CK18 +ve.<ref>AP. 28 May 2009.</ref>


==Cholangiocarcioma==
==Cholangiocarcioma==
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===Microscopic===
===Microscopic===
*Histologic features are dependent on primary and degree of differentiation.
*Histologic features are dependent on primary and degree of differentiation.
Image: [http://commons.wikimedia.org/wiki/File:Adenocarcinoma_liver_metastasis.jpg Liver metastasis - adenocarcinoma (WC)].


===IHC===
===IHC===