Source:http://linkedlifedata.com/resource/pubmed/id/10078928
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1999-3-22
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pubmed:abstractText |
The authors present an unusual case of an epithelial-myoepithelial carcinoma of the liver in a 67-year-old man who was admitted for resection of a gastric adenocarcinoma. At operation, a 3 x 3 cm mass in the right liver lobe was also removed. This mass consisted of duct-like structures with dual differentiation. The inner layer was composed of an epithelial lining, and the outer layer consisted of clear cells, all unrelated to the moderately well-differentiated gastric adenocarcinoma. The clear cells were positive for S-100 and alpha-smooth muscle actin, suggesting myoepithelial origin. The mass was considered to be low-grade epithelial-myoepithelial carcinoma. However, the patient had a history of an oral nodule present since childhood, resected 10 years previously. These slides were reviewed and revealed a mixture of clear cells and basal cells with squamous differentiation. In addition, there were duct-like structures with the two-layer pattern found in the liver tumor. This tumor had numerous mitotic figures and showed perineural invasion, suggesting a high grade of malignancy. These findings led to an interpretation of the oral tumor as also being epithelial-myoepithelial carcinoma, which had remained as "benign" for more than 50 years and subsequently underwent malignant transformation. During this long period, liver metastases may have occurred and remained low-grade. Alternatively, the liver and oral tumors may have arisen separately in the foregut during embryologic development, remaining low-grade until malignant transformation occurred.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0147-5185
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
349-53
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10078928-Actins,
pubmed-meshheading:10078928-Aged,
pubmed-meshheading:10078928-Carcinoma,
pubmed-meshheading:10078928-Humans,
pubmed-meshheading:10078928-Immunoenzyme Techniques,
pubmed-meshheading:10078928-Keratins,
pubmed-meshheading:10078928-Liver Neoplasms,
pubmed-meshheading:10078928-Male,
pubmed-meshheading:10078928-Mouth Neoplasms,
pubmed-meshheading:10078928-Palate,
pubmed-meshheading:10078928-S100 Proteins
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pubmed:year |
1999
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pubmed:articleTitle |
An unusual case of epithelial-myoepithelial carcinoma of the liver.
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pubmed:affiliation |
Second Department of Pathology, Kanazawa University School of Medicine, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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