Hepatocellular progenitor cell tumor of the gallbladder: a case report and review of the literature.
A 75-year-old man presented to his physician with weakness, anorexia, and constant right upper quadrant pain. He underwent a laparoscopic cholecystectomy, which was converted to an open cholecystectomy due to presumed adhesions. Direct examination of the liver was negative for masses or lesions. A CT scan was negative for masses or nodules. The gallbladder was 8.5 x 2.5 cm(2), with a diffusely thick wall measuring 2.5 cm. Microscopic examination showed a monomorphic tumor consisting of cells with increased nuclear:cytoplasmic ratio and occasional nucleoli, infiltrating the entire gallbladder uniformly. The tumor cells that reacted to antibodies directed against HepPar1, CAM 5.2, CK19 and scattered cells were immunoreactive for CD117, CD34, and CD56. This immunohistochemical profile suggested a 'hepatocellular progenitor cell tumor of the gall bladder'. This report is, to our knowledge, the first such case of a tumor of this cell type reported in the gallbladder. In addition, we present a review of the literature.
Vadlamani
Indira
I
Department of Pathology, Saint Louis University School of Medicine, St Louis, MO 63110, USA.
Brunt
Elizabeth M
EM
D000368:Aged; D000911:Antibodies, Monoclonal / Q000032:analysis; D018952:Antigens, CD34 / Q000032:analysis; D015415:Biomarkers; D019002:CD56 Antigen / Q000032:analysis; D005706:Gallbladder Neoplasms / Q000378:metabolism / Q000473:pathology*; D022781:Hepatocytes / Q000737:chemistry / Q000276:immunology / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D007633:Keratins / Q000032:analysis; D008297:Male; D019009:Proto-Oncogene Proteins c-kit / Q000032:analysis
D000911:Antibodies, Monoclonal; D018952:Antigens, CD34; D015415:Biomarkers; C400901:CAM 5.2 antigen; D019002:CD56 Antigen; D007633:Keratins; D019009:Proto-Oncogene Proteins c-kit