PMC4904699_01
(a) Abdomen CT showing diffuse neoplastic infiltrative involvement of the entire liver with sparing of small patchy areas of the liver. (b) CT of the abdomen showing post-liver transplant recurrence with innumerable diffuse hypodense lesions in the liver.
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fig1
The capsular surface showed foci of capsular retraction (Figure 1(a)). The white areas were rimmed by hyperemic edge (Figure 1(b)).
(a) Hepatectomy specimen with focal capsular retraction (white arrow), (b) cross section of the liver showing white sclerotic areas with hyperemic rim (white arrow), (c) malignant epithelioid haemangioendothelioma cells with sinusoidal infiltration (HE x40), and (d) tumor cells positive for CD31 and CD34.
CJGH2016-6135297.002.jpg
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fig2
Microscopic examination revealed diffuse infiltration by malignant epithelioid cells with signet ring morphology and massive areas of necrosis; the cells showed similar positive reaction to endothelial markers (Figures 2(a)-2(d)).