CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2018; 39(02): 237-240
DOI: 10.4103/ijmpo.ijmpo_55_17
Practitioner Section

A Rare Nonhepatocytic Primary Liver Neoplasm with an Unusual Presentation: Ossifying Malignant Mixed Epithelial and Stromal Tumor

Albina Venus
Department of Pathology, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
,
Sangita Sharma Mehta
Department of Pathology, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
,
Sumathi Natarajan
Department of Radiology, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

We present a case of a rare liver neoplasm – Ossifyimg malignant mixed epithelial and stromal tumor. This entity has well-delineated morphological and immunohistochemical features, and so can be easily diagnosed, even with core biopsy tissue. Our patient was a middle-aged male, which is unheard of in the literature of this disease. He had a bad recurrence of the disease after surgical removal of the tumor, unlike the previously reported cases with the same diagnosis, where the patients lived for almost a decade after surgery without recurrence. This neoplasticdisease can thus take a destructive course, and a change in treatment methods such as neoadjuvant or adjuvant chemotherapy should be thought of, to make it more beneficial and effective.



Publication History

Article published online:
23 June 2021

© 2018. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Heywood G, Burgart LJ, Nagorney DM. Ossifying malignant mixed epithelial and stromal tumor of the liver: A case report of a previously undescribed tumor. Cancer 2002; 94: 1018-22
  • 2 Akamatsu Y, Ooka T. Malignant hepatic mixed tumor: Report of a case. Acta Pathol Jpn 1963; 13: 37-41
  • 3 Ludwig J, Grier MW, Hoffman HN, McGill DB. Calcified mixed malignant tumor of the liver. Arch Pathol 1975; 99: 162-6
  • 4 Makhlouf HR, Abdul-Al HM, Wang G, Goodman ZD. Calcifying nested stromal-epithelial tumors of the liver: A Clinicopathologic, Immunohistochemical, and molecular genetic study of 9 cases with a long-term follow-up. Am J Surg Pathol 2009; 33: 976-83
  • 5 Kawarada Y, Uehara S, Noda M, Yatani R, Mizumoto R. Nonhepatocytic malignant mixed tumor primary in the liver Report of two cases. Cancer 1985; 55: 1790-8
  • 6 Al-Jiffry BO. Adult hepatoblastoma: A case report and literature review. Int J Surg Case Rep 2013; 4: 204-7
  • 7 She R, Szakacs J. Carcinosarcoma of the liver: A case report and review of the literature. Arch Pathol Lab Med 2005; 129: 790-3
  • 8 Lao XM, Chen DY, Zhang YQ, Xiang J, Guo RP, Lin XJ. et al. Primary Carcinosarcoma of the liver: Clinicopathologic features of 5 cases and a review of the literature. Am J Surg Pathol 2007; 31: 817-26
  • 9 Wang Y, Zhou J, Huang WB, Rao Q, Ma HH, Zhou XJ. et al. Calcifying nested stroma-epithelial tumor of the liver: A case report and review of literature. Int J Surg Pathol 2011; 219: 268-72
  • 10 Geramizadeh B, Foroutan H, Foroutan A, Bordbar M. Nested stromal epithelial tumor of liver presenting with Cushing syndrome: A rare case report. Indian J Pathol Microbiol 2012; 55: 253-5
  • 11 Heerema-McKenney A, Leuschner I, Smith N, Sennesh J, Finegold MJ. Nested stromal epithelial tumor of the liver: Six cases of a distinctive pediatric neoplasm with frequent calcifications and association with Cushing syndrome. Am J Surg Pathol 2005; 29: 10-20
  • 12 Schaffer LR, Shehata BM, Yin J, Schemankewitz E, Alazraki A. Calcifying nested stromal-epithelial tumor (CNSET) of the liver: A newly recognized entity to be considered in the radiologist's differential diagnosis. Clin Imaging 2016; 40: 137-9
  • 13 Sahani DV, Kalva SP. Imaging the liver. Oncologist 2004; 9: 385-97
  • 14 Oviedo RamírezMI, Bas BernalA, Ortiz RuizE, Bermejo J, De AlavaE, Hernández T. et al. Desmoplastic nested spindle cell tumor of the liver in an adult. Ann Diagn Pathol 2010; 14: 44-9
  • 15 Yamazaki M, Ryu M, Okazumi S, Kondo F, Cho A, Okada T. et al. Hepatoblastoma in an adult. A case report and clinical review of literatures. Hepatol Res 2004; 30: 182-8
  • 16 Nakamura S, Sho M, Kanehiro H, Tanaka T, Kichikawa K, Nakajima Y. et al. Adult hepatoblastoma successfully treated with multimodal treatment. Langenbecks Arch Surg 2010; 395: 1165-8
  • 17 Procopio F, Di TommasoL, Armenia S, Quagliuolo V, Roncalli M, Torzilli G. et al. Nested stromal-epithelial tumour of the liver: An unusual liver entity. World J Hepatol 2014; 6: 155-9
  • 18 Brodsky SV, Sandoval C, Sharma N, Yusuf Y, Facciuto ME, Humphrey M. et al. Recurrent nested stromal epithelial tumor of the liver with extrahepatic metastasis: Case report and review of literature. Pediatr Dev Pathol 2008; 11: 469-73