Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the Literature

Hepatocellular carcinoma with osteoclast-like giant cells is extremely rare, and only six cases have been previously reported. Its histogenesis is at the moment controversial. The authors report a case of hepatocellular carcinoma with osteoclast-like giant cells found in a 74-year-old woman. The pa...

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Main Authors: Lorenzo Dioscoridi, Damiano Bisogni, Giancarlo Freschi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/836105
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author Lorenzo Dioscoridi
Damiano Bisogni
Giancarlo Freschi
author_facet Lorenzo Dioscoridi
Damiano Bisogni
Giancarlo Freschi
author_sort Lorenzo Dioscoridi
collection DOAJ
description Hepatocellular carcinoma with osteoclast-like giant cells is extremely rare, and only six cases have been previously reported. Its histogenesis is at the moment controversial. The authors report a case of hepatocellular carcinoma with osteoclast-like giant cells found in a 74-year-old woman. The patient came with a dull pain in the right upper abdominal quadrants due to a liver neoplasm described at CT scan. A wedge resection of the fifth hepatic segment with appendectomy, omentectomy, and debulking of the major peritoneal implants was performed. Histologically, the diagnosis of hepatocellular carcinoma with high grade differentiation associated with giant osteoclast-like cells was done without any evidence of hepatitis or cirrhosis in the surrounding hepatic parenchyma. Immunohistochemistry was positive for CD10 and CD68 and in situ hybridization revealed the expression of receptor activator of nuclear factor-kappa B (RANK) in the giant cells and receptor activator of nuclear factor-kappa B ligand (RANKL) in the tumor cells.
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spelling doaj-art-a5615d300dcb4fd4864006000a4d6dfb2025-02-03T00:59:29ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/836105836105Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the LiteratureLorenzo Dioscoridi0Damiano Bisogni1Giancarlo Freschi2Department of Surgery and Translational Medicine, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyDepartment of Surgery and Translational Medicine, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyDepartment of Surgery and Translational Medicine, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyHepatocellular carcinoma with osteoclast-like giant cells is extremely rare, and only six cases have been previously reported. Its histogenesis is at the moment controversial. The authors report a case of hepatocellular carcinoma with osteoclast-like giant cells found in a 74-year-old woman. The patient came with a dull pain in the right upper abdominal quadrants due to a liver neoplasm described at CT scan. A wedge resection of the fifth hepatic segment with appendectomy, omentectomy, and debulking of the major peritoneal implants was performed. Histologically, the diagnosis of hepatocellular carcinoma with high grade differentiation associated with giant osteoclast-like cells was done without any evidence of hepatitis or cirrhosis in the surrounding hepatic parenchyma. Immunohistochemistry was positive for CD10 and CD68 and in situ hybridization revealed the expression of receptor activator of nuclear factor-kappa B (RANK) in the giant cells and receptor activator of nuclear factor-kappa B ligand (RANKL) in the tumor cells.http://dx.doi.org/10.1155/2015/836105
spellingShingle Lorenzo Dioscoridi
Damiano Bisogni
Giancarlo Freschi
Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the Literature
Case Reports in Surgery
title Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the Literature
title_full Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the Literature
title_fullStr Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the Literature
title_full_unstemmed Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the Literature
title_short Hepatocellular Carcinoma with Osteoclast-Like Giant Cells: Report of the Seventh Case in the Literature
title_sort hepatocellular carcinoma with osteoclast like giant cells report of the seventh case in the literature
url http://dx.doi.org/10.1155/2015/836105
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AT damianobisogni hepatocellularcarcinomawithosteoclastlikegiantcellsreportoftheseventhcaseintheliterature
AT giancarlofreschi hepatocellularcarcinomawithosteoclastlikegiantcellsreportoftheseventhcaseintheliterature