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Immunohistochemical and electron microscopic findings in a case of mixed hamartoma of the liver

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Abstract

A case of mixed hamartoma of the liver in a 36 day old female infant is reported herein. The resected tumor was well demarcated, measured 7.5×7.0 cm and weighed 179 gm. Microscopically, the tumor was composed of loose fibrous stroma intermingled with spindle and polygonal cells and ductular structures. The spindle and polygonal tumor cells displayed the distinct cytoplasmic staining for alpha-1-antitrypsin. Most of the tumor cells showed the characteristic ultrastructural features of immature hepatocytes, having numerous cytoplasmic microvillous structures, abundant rough and smooth endoplasmic reticulum and mitochondria. These findings suggest that embryonic liver cells, which are capable of transforming into biliary structures and hepatocytes, serve as essential elements of mixed hamartoma of the liver.

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References

  1. Edmondson HA. Progress in pediatrics. Differential diagnosis of tumors and tumor-like lesions of liver in infancy and childhood. Amer J Child 1956; 91: 161–186.

    Google Scholar 

  2. Gibson JB. Histological Typing of the Liver, Biliary Tract and Pancreas (International Histological Classification of Tumors, No. 20), WHO, Geneva, 1978.

    Google Scholar 

  3. Tate RC, Chacko MV, Singh S, Ogden L. Parenchymal hamartoma of the liver in infants and children. Amer J Surg 1972; 123: 346–350.

    Article  PubMed  CAS  Google Scholar 

  4. Rhodes RH, Marchildon MB, Luebke DC, Edmondson HA, Mikity VG. A mixed hamartoma of the liver: light and electron microscopy. Human Pathol 1978; 9: 211–221.

    Article  CAS  Google Scholar 

  5. Sternberger LA, Hardy PH, Cuculis JJ, Mayer HC. The unlabeled antibody enzyme method of immunocytochemistry. Preparation and properties of soluble antigen antibody complex (horseradish peroxidase-aniperoxidase) and its use in identification of spirochetaes. J Histochem Cytochem 1970; 218: 315–333.

    Google Scholar 

  6. Palubinskass AJ, Baldwin J, McCormack KR. Liver cell adenoma. Angiographic findings and report of a case. Radiology 1967; 89: 444–447.

    Google Scholar 

  7. Philips MJ, Langert B, Stone R, Fisher MM, Ritchie S. Benign liver cell tumors. Classification and ultrastructural pathology. Cancer 1971; 32: 463–470.

    Article  Google Scholar 

  8. Keeling JW. Liver tumors in infancy and childhood. J Pathol 1971; 103: 69–85.

    Article  PubMed  CAS  Google Scholar 

  9. Srouji MN, Chatten J, Schulman WM, Ziegler MM, Koop CE. Mesenchymal hamartoma of the liver in infants. Cancer 1978; 42: 2483–2489.

    Article  PubMed  CAS  Google Scholar 

  10. Dooley JS, Li AKC, Schener PJ, Hobbs KE, Sherlock S. A giant cystic mesenchymal hamartoma of the liver: Diagnosis, management, and study of cystic fluid. Gastroenterology 1983; 85: 958–961.

    PubMed  CAS  Google Scholar 

  11. Dehler LP, Ewing SL, Sumner HW. Infantile mesenchymal hamartoma of the liver. Histologic and ultrastructural observations. Arch Pathol 1975; 99: 379–382.

    Google Scholar 

  12. Bartlett WC, Shellito JG, Kan W. Hamartoma of the liver. Surgery 1951; 29: 593–593.

    PubMed  CAS  Google Scholar 

  13. Ito H, Toda T, Kishikawa T, Yamaguchi S, Kani A, Funabiki T, Aoki H, Araki M, Shamoto M, Takeuchi J, Yokoi K, Miyata T, Matsuyama K. A case of mesenchymal hamartoma of the liver with a review of the reported cases in Japan. J Jpn Soc Pediatr Surg 1976; 15: 117–124.

    Google Scholar 

  14. Boulay CEH. Demonstration of alpha-1-antitrypsin and alpha-1-antichymotrypsin in fibrous histiocytoma using the immunoperoxidase technique. Am J Surg Pathol 1982; 6: 559–564.

    Article  PubMed  Google Scholar 

  15. Isaacson P, Jones DB, Judo MA. Alpha-1-antitrypsin in human macrophages. Lancet 1975; 91: 964–965.

    Google Scholar 

  16. Qizilbash A, Young-Pong O. Alpha-1-antitrypsin liver diseases. Differential diagnosis of PAS-positive, diastase-resistant globules in liver cells. Am J Clin Pathol 1983; 79: 697–702.

    PubMed  CAS  Google Scholar 

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Toda, T., Yamada, M., Nakama, B. et al. Immunohistochemical and electron microscopic findings in a case of mixed hamartoma of the liver. The Japanese Journal of Surgery 20, 101–106 (1990). https://doi.org/10.1007/BF02470721

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