Nested (ossifying) stromal epithelial tumor of the liver: Case report

Karen Meir*, Alexander Maly, Victoria Doviner, Eitan Gross, Michael Weintraub, Lionel Rabin, Orit Pappo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Nested stromal-epithelial tumor (NSET) of the liver is an extremely rare primary hepatic tumor with uncertain malignant potential. To date, only 11 cases have been described. We describe the case of a 21/2-year-old girl with an incidental liver mass. The mass was discovered on follow-up abdominal imaging for asymptomatic hydronephrosis diagnosed on antenatal ultrasound. Needle biopsy showed a mixed stromal and epithelial process in a nested pattern, with foci of ossification and no significant pleomorphism or necrosis. The nest cells stained with WT-1, cytokeratin 18, and CD56. Ossifying stromal epithelial tumor of the liver was strongly suspected. The findings were confirmed in the subsequent partial hepatectomy specimen. To our knowledge, this is the 12th case of NSET in the English-language literature and the 3rd case of NSET associated with genitourinary system abnormalities. Possible associations with dysregulated WT-1 expression are discussed.

Original languageEnglish
Pages (from-to)233-236
Number of pages4
JournalPediatric and Developmental Pathology
Volume12
Issue number3
DOIs
StatePublished - May 2009
Externally publishedYes

Keywords

  • Genitourinary development
  • Liver tumor
  • WT-1

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