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Primary Hepatic Malignant Fibrous Histiocytoma Mimicking Hepatocellular Carcinoma: Report of Two Cases with Immunohistochemical Detection of Ezrin, and.

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Presentation on theme: "Primary Hepatic Malignant Fibrous Histiocytoma Mimicking Hepatocellular Carcinoma: Report of Two Cases with Immunohistochemical Detection of Ezrin, and."— Presentation transcript:

1 Primary Hepatic Malignant Fibrous Histiocytoma Mimicking Hepatocellular Carcinoma: Report of Two Cases with Immunohistochemical Detection of Ezrin, and Ultrastructural and K-ras Mutation Analysis  Phui-Ly Liew, Ming-Te Huang, Sey-En Lin, Hsin-An Chen, Chih-Hsiung Wu, Wei-Hwa Lee  Journal of Experimental & Clinical Medicine  Volume 4, Issue 3, Pages (June 2012) DOI: /j.jecm Copyright © Terms and Conditions

2 Figure 1 CT scan of case 1. A lobulated mass (16×15×13cm3) occupying segments 4, 5, and 8 of liver, with an initial peripheral and gradual fill-in enhancement pattern, and central areas of necrosis were found. Tumor had ruptured at its lateral margin, with blood clot in right perihepatic space. CT=computed tomography. Journal of Experimental & Clinical Medicine 2012 4, DOI: ( /j.jecm ) Copyright © Terms and Conditions

3 Figure 2 CT scan of case 2 showed a solitary mass (3×2.5×1cm3) with irregular margin in segment 6 of liver, with a peripheral enhancement pattern and central area of necrosis. CT=computed tomography. Journal of Experimental & Clinical Medicine 2012 4, DOI: ( /j.jecm ) Copyright © Terms and Conditions

4 Figure 3 Macroscopic findings of the cut surface of the tumor in (A) case 1 and (B) case 2. Journal of Experimental & Clinical Medicine 2012 4, DOI: ( /j.jecm ) Copyright © Terms and Conditions

5 Figure 4 Microscopic features of hepatic MFH in (A) case 1 and (B) case 2. The storiform–pleomorphic growth patterns were similar in both cases (hematoxylin and eosin staining, original magnification in A and B, ×100). MFH=malignant fibrous histiocytoma. Journal of Experimental & Clinical Medicine 2012 4, DOI: ( /j.jecm ) Copyright © Terms and Conditions

6 Figure 5 Ezrin immunoexpressions in tumor cells from (A) case 1 and (B) case 2. Immunohistochemical staining with hematoxylin counterstained was shown (original magnification in A and B, ×400). Journal of Experimental & Clinical Medicine 2012 4, DOI: ( /j.jecm ) Copyright © Terms and Conditions

7 Figure 6 Representative electron microscopic images of the tumor from (A) case 1 and (B) case 2. Fibroblast-like cells with prominent cytoplasmic rough endoplasmic reticulum and histiocyte-like cells with prominent lysosomes were noticed (original magnification in A, ×5000; in B, ×12,000). Journal of Experimental & Clinical Medicine 2012 4, DOI: ( /j.jecm ) Copyright © Terms and Conditions

8 Figure 7 The K-ras exon 2 codon 12 or 13 mutation analysis is not detectable. Journal of Experimental & Clinical Medicine 2012 4, DOI: ( /j.jecm ) Copyright © Terms and Conditions


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