PMC5440282_01
(a) MRI scan - 2 tumors in the right liver lobe and a mass of focal nodular hyperplasia between the tumors. (b) CT scan - 2 atypical voluminous tumors in the right liver lobe.
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Another finding was a mass of focal nodular hyperplasia 45 x 32 mm between the tumors. (Fig. 1) Both tumors were biopsied with CT navigation, and histopathology was interpreted as suspected cholangiocellular carcinoma.
a,b: CT scan - 2 lung nodules in the right lower lobe.
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Additional CT of thorax showed 2 lung nodules measuring 12 respectively 8 mm in the right lower lobe suspected to be metastasis (Fig. 2).
a,b: Resected right lobe of the liver with tumors.
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The decision of multidisciplinary team in the aspect of the excellent performance status and particularly young age of the patient were to provide a right hepatic lobectomy, and the patient underwent surgery in October 2015 (Fig. 3).
(a) Extensive necrosis of liver tissue lined with nonspecific granulation tissue (Hematoxyline-eosin, 160x). (b) Necrosis of liver tissue with multiple optically empty spaces (Hematoxyline-eosin, 160x).
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This material was positive to PAS dyeing, and to Grocott silver staining (Fig. 4).