Small cell carcinoma of the liver: a hitherto unreported variant of hepatocellular carcinoma.

Abstract:

:We report three cases of an unusual primary carcinoma of the liver composed of small cells. The patients were adult males (56 to 89 years) who presented with jaundice, weight loss and abdominal discomfort. Surgery was attempted in one case. Clinical evolution was rapid, with death ensuing between 1 and 5 months after diagnosis. Surgical (1 case) and autopsy (2) tissues were available for review. All three tumours arose in non-cirrhotic livers. They were composed of broad nests of small epithelial cells with little supporting tissue. They were positive for low-molecular weight keratins and alpha-fetoprotein. One case was immunoreactive for erythropoietin antigen. Expression of neuroendocrine markers was focal and erratic. No immunostaining was observed for carcinoembryonic antigen or S-100 protein. In one case ultrastructural investigation disclosed canaliculi surrounded by microvilli and junctional complexes. In the light of these features, it appears that small cell carcinoma represents a rare, but definite variant of hepatocellular carcinoma. Although it does not segregate in a peculiar clinical setting, it should be distinguished from metastatic pulmonary small cell carcinoma as well as from other malignancies featuring small cells.

journal_name

Histopathology

journal_title

Histopathology

authors

Zanconati F,Falconieri G,Lamovec J,Zidar A

doi

10.1046/j.1365-2559.1996.d01-514.x

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

449-53

issue

5

eissn

0309-0167

issn

1365-2559

journal_volume

29

pub_type

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