06/09/2009
Futurescape Case 3
Case submitted on behalf of Dr. Shriram Jakate: 46 M is being followed for a prior lesion that was resected 2 years ago. Now he is found to have a 2.2 cm nodule in the liver which is resected (gross image is available). Multiple immunostains are performed. HepPar1 and CK7 are negative.
- Case Overview
- Diagnosis
Age:
46
Sex:
male
Condition:
2.2 cm liver nodule
Comments
I think it's two lesions the first is a metastatic melanoma superimposed on a vascular lesion- a hemangioma
Is the patient immunosuppressed/immunodeficient? Otherwise this tumor can suggest a vascular origin (cd31) but I'm not too sure of a Kaposi's sarcoma . Really rare angiosarcomas can express S100 positivity in a spotty way (anyways the thorotrast or MVC exposure history could help)
D/D Kaposi's sarcoma, Angisarcoma etc.