Date of Presentation:3/29/2017

Attending pathologist: Wei Chen, MD, PhD

Presented by: Wei Chen, MD, PhD

Prepared by: Denise Gamble, DO

Organ:Liver

HISTORY:

The patient is a 60 year old male with RUQ pain and elevated liver function tests.

Imaging shows multiple lesions in the liver.

A biopsy of the liver was performed.

Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue

What is the most likely diagnosis?

  1. Angiomyolipoma, epithelioid
  2. Adenocarcinoma
  3. Hepatocellular carcinoma with clear cell features
  4. Focal nodular hyperplasia
  5. Metastatic Renal cell carcinoma, clear cell variant
Hepatocellular carcinoma with clear cell features

CASE SUMMARY