by Randall G. Lee, M.D.
Per referral report, the patient is an elderly
female with multiple lesion in liver by CT. R/O metastasis. No known primary.
Review of outside material.
Final Diagnosis (Case 90)
LIVER, NEEDLE BIOPSY -
- BENIGN FIBROMYXOID VASCULAR CONNECTIVE TISSUE, CONSISTENT WITH SCLEROSED
- NO EVIDENCE OF MALIGNANCY.
Previous Biopsies on this Patient:
TPIS Related Resources:
Gross Description - Case 90The specimen consists of three (3) consult
slides and one (1) paraffin block with an accompanying surgical pathology
Microscopic Description - Case 90
The liver biopsy contains a small fragment of unremarkable hepatic
parenchyma. The bulk of the specimen consists of vascular collagenized tissue
with a sparse scattering of inflammatory cells and occasional hemosiderin-laden
macrophages. There are numerous blood vessels ranging from slightly dilated
venular structures to small capillaries and arterioles. No evidence of
malignancy is identified. Overall the changes suggest a sclerosed hemangioma,
and this possibility should be correlated with the radiographic and clinical
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