Case history
An 80-year-old male presented with weight loss. Physical examination detected an enlarged liver. Abdominal CT/MRI revealed: a 9 x 6.5 cm lesion in segment VIII of the right liver lobe, with central necrosis. Additionally, lesions were found in segments III and IVb measuring 3 cm and 4 cm, respectively. Lower pole of the right kidney showed a 1.4 cm lesion and multiple nodular lesions were seen in both lungs. Biopsy of the liver lesion is shown.
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Submitted by Fred Bosman and Grishma Shresta, Patan Academy of Health Sciences, Patan, Nepal
Fred Bosman is Professor Emeritus at the University Institute of Pathology, University Medical Center of Lausanne, Switzerland.
Patan Academy of Health Sciences, Patan, Nepal