PMC3019029_01
Abdominal computed tomography scan with contrast during the arterial phase. Multiple low-
density masses in the liver;ill defined,  low-density mass, in the pancreas.
JMedLife-03-96-g001.jpg
PMC3019029_01_JMedLife-03-96-g001.jpg
F1
Computed tomography scan revealed multiple low-density masses measuring  between 20-47 mm in the liver; a low-density ill-defined mass of 27/23mm, in the pancreas,  with involvement of the uncinate process (Fig 1,  Fig 2, Fig 3).
Abdominal computed tomography scan with contrast during the arterial phase. Multiple round-
oval hypodense structures, with hyperdense periphery, in the liver.
JMedLife-03-96-g002.jpg
PMC3019029_01_JMedLife-03-96-g002.jpg
F2
Computed tomography scan revealed multiple low-density masses measuring  between 20-47 mm in the liver; a low-density ill-defined mass of 27/23mm, in the pancreas,  with involvement of the uncinate process (Fig 1,  Fig 2, Fig 3).
Abdominal computed tomography scan with contrast during the arterial phase. Multiple low-
density masses in the liver; ill defined, low-density mass, in the pancreas.
JMedLife-03-96-g003.jpg
PMC3019029_01_JMedLife-03-96-g003.jpg
F3
Computed tomography scan revealed multiple low-density masses measuring  between 20-47 mm in the liver; a low-density ill-defined mass of 27/23mm, in the pancreas,  with involvement of the uncinate process (Fig 1,  Fig 2, Fig 3).
Hepatic metastatic lesion biopsy. Immunohistochemistry, CK 7 (plus), 4x.
JMedLife-03-96-g004.jpg
PMC3019029_01_JMedLife-03-96-g004.jpg
F4
The  histopathological and immunohistochemical result was 'liver biopsy fragment with neoplastic infiltration  of well-differentiated adenocarcinoma, citokeratin 7 and CA 125 positive in tumor cells, citokeratin 20 and  19 negative in tumor cells, OCH1E5 positive in the normal hepatocytes, negative in tumor cells, CDX2  negative, synaptophysin negative, chromogranin negative' (Fig 4, Fig 5,Fig 6).
Hepatic metastatic lesion biopsy. There are some little malignant glands in the left quadrant 
- pancreatic adenocarcinoma metastasis. H and E stain, 4x.
JMedLife-03-96-g005.jpg
PMC3019029_01_JMedLife-03-96-g005.jpg
F5
The  histopathological and immunohistochemical result was 'liver biopsy fragment with neoplastic infiltration  of well-differentiated adenocarcinoma, citokeratin 7 and CA 125 positive in tumor cells, citokeratin 20 and  19 negative in tumor cells, OCH1E5 positive in the normal hepatocytes, negative in tumor cells, CDX2  negative, synaptophysin negative, chromogranin negative' (Fig 4, Fig 5,Fig 6).
Hepatic metastatic lesion biopsy. There are some little malignant glands in the left quadrant 
- pancreatic adenocarcinoma metastasis. H and E stain, 10x.
JMedLife-03-96-g006.jpg
PMC3019029_01_JMedLife-03-96-g006.jpg
F6
The  histopathological and immunohistochemical result was 'liver biopsy fragment with neoplastic infiltration  of well-differentiated adenocarcinoma, citokeratin 7 and CA 125 positive in tumor cells, citokeratin 20 and  19 negative in tumor cells, OCH1E5 positive in the normal hepatocytes, negative in tumor cells, CDX2  negative, synaptophysin negative, chromogranin negative' (Fig 4, Fig 5,Fig 6).