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The Korean Journal of Pathology 1991;25(5): 467-470.
A Case Report of Pedunculated Hepatocellular Carcinomas.
Jae Bok Park, Sae Kwang Moon
1Department of Pathology, Catholic Hospital, Taegu, Korea.
2Department of Pathology, Fatima Hospital, Taegu 705-030, Korea.
ABSTRACT
Pedunculated hepatocellular carcinoma was first described by Roux in 1987, and Goldberg and Wallerstein presented a case with pathological description in 1934. Since then 37 cases have been reported in the world literature. A pedunculated hepatocellular carcinoma, occurred in a 69-year-old woman, was encountered. It was attached to the Glission's capsule of the right lobe of liver inferiorly, and was connected to the porta hepatis bt a mesenteric pedicle containing arteries, veins, bile ducts and nerve bundles. The tumor mass was completely encapsulated, and measured 8.5x8x6 cm and 255 gm. It was composed of hepatocellular carcinoma of a well-differentiated, acinar type. Tumor cells were positive for HBsAg, but negative for alpha-fetoprotein on peroxidase-antiperoxidase staining. The liver exhibited macronodular cirrhosis on gross examination. This tumor is thought to have on in the supernumerary lobe of liver.
Key Words: Pedunculated hepatocellular carcinoma; Hepatocellular carcinoma; Supernumerary lobe of liver
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