Well-differentiated hepatocellular carcinoma associated with long-term survival. Report of two cases.

TitleWell-differentiated hepatocellular carcinoma associated with long-term survival. Report of two cases.
Publication TypeJournal Article
Year of Publication1991
AuthorsLoda M, Mendoza AE, O'Hara C, Crawford JM, Federman M, Goodman H
JournalVirchows Arch A Pathol Anat Histopathol
Volume418
Issue6
Pagination551-6
Date Published1991
ISSN0174-7398
KeywordsAdult, alpha 1-Antichymotrypsin, alpha 1-Antitrypsin, Bile Ducts, Carcinoembryonic Antigen, Carcinoma, Hepatocellular, Cell Transformation, Neoplastic, Chorionic Gonadotropin, Chromogranins, Female, Hepatic Duct, Common, Humans, Immunohistochemistry, Keratins, Liver Neoplasms, Male, Membrane Glycoproteins, Microscopy, Electron, Middle Aged, Mucin-1, Phosphopyruvate Hydratase, Prognosis, Time Factors, Vimentin
Abstract

Two cases of well-differentiated hepatocellular carcinoma (HCC) with focal biliary differentiation are presented. The distinct histological features of these neoplasms and the unusually protracted clinical course of 8 and 10 years distinguish them from previously described pathological categories of primary hepatic tumors. Electron microscopic and immunohistochemical findings support a dual hepatic and bile duct differentiation of the tumor cells. If additional examples of this tumor are found to be associated with a similarly prolonged symptom-free survival, the distinction of this entity from traditional, rapidly fatal HCC becomes important. Less aggressive therapeutic options may be entertained.

DOI10.1007/BF01606507
Alternate JournalVirchows Arch A Pathol Anat Histopathol
PubMed ID1711733
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