PMC6764036_01
(A) Contrast-enhanced computed tomography images showed a solitary focal
large lesion measuring 21 x 09 cm with contrast agent enhancement of the
left lobe of the liver. (B) Specimen of wedge resected liver: voluminous
exophytic tumor; white grayish color measuring 21 x 19 x 12 cm.
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A computed tomography (CT) scan revealed a single liver lesion that was suspicious of metastasis (Figure 1A).
(C) The microscopic appearance showed that the tumor mass is pushing out
toward the hepatic tissue (hematoxylin and eosin [H&E]). (D) The tumor
was organized in cribriform growth pattern displaying several prominent
pseudocysts surrounded by basaloid cells with hyperchromatic-angulated
nuclei (H&E).
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These pathological findings are suggestive of metastases from the ACC (Figure 2C and D).