72-year-old male. Painful hepatomegaly after right hemicolectomy
for carcinoma (2 years previously)
- Infiltration of moderately differentiated adenocarcinoma
- In contrast to hepatocellular carcinoma, the stroma is fibrous.
- Mucus is located in the lumen of the glands and in the cribriform
- In the surrounding liver tissue there is no cirrhotic rearrangement
and only discretely inflamed infiltration in the portal fields.
- A peritumoural inflammation, reminiscent of chronic active hepatitis,
may occur in metastases.
- Circulatory disturbances often occur in the area of the tumour