A case of adrenal rest tumor of the liver: Radiological imaging and immunohistochemical study of steroidogenic enzymes
Article first published online: 28 JUN 2008
© 2008 The Japan Society of Hepatology
Volume 38, Issue 11, pages 1154–1158, November 2008
How to Cite
Baba, Y., Beppu, T., Imai, K., Masuda, T., Iyama, K.-i., Sasano, H. and Baba, H. (2008), A case of adrenal rest tumor of the liver: Radiological imaging and immunohistochemical study of steroidogenic enzymes. Hepatology Research, 38: 1154–1158. doi: 10.1111/j.1872-034X.2008.00360.x
- Issue published online: 29 SEP 2008
- Article first published online: 28 JUN 2008
- Received 29 January 2008; revision 19 February 2008; accepted 21 February 2008.
- adrenal rest tumor of the liver;
- radiological imaging;
- steroidogenic enzymes
A case of adrenal rest tumor in the liver of a 67-year-old female was reported. The tumor appeared on diagnostic imaging as a hypervascular and fat-containing mass at the periphery of right hepatic lobe and required differential diagnosis from hepatocellular carcinoma (HCC). Pathological diagnosis of the intraoperative frozen section taken under laparoscopic liver biopsy could not exclude fat-containing HCC. Therefore, she underwent partial resection of the right hepatic lobe. A yellowish-brown mass, 17 × 14 × 11 mm in a diameter, was located in the subcapsular portion. Histologically, the mass presented features similar to those of the adrenal cortex and was composed of pale cells. Immunohistochemically, the mass expressed the adrenal 4-binding protein and several enzymes involved in the synthesis of adrenocortical steroids. Based on these findings, the hepatic mass was finally diagnosed as an adrenal rest tumor of the liver.