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− | Especially in the dog, the [[Liver - Anatomy & Physiology|liver]] is frequently affeced by both primary and secondary neoplasms. | + | {{frontpage |
| + | |pagetitle =Liver - Proliferative Pathology |
| + | |pagebody = Especially in the dog, the [[Liver - Anatomy & Physiology|liver]] is frequently affeced by both primary and secondary neoplasms. |
| + | |contenttitle =Content |
| + | |contentbody =<big><b> |
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− | ==Primary tumours== | + | <categorytree mode=pages>Liver - Proliferative Pathology</categorytree> |
− | *not as common as secondary tumours
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− | *may arise from each of the four main tissues within the [[Liver - Anatomy & Physiology|liver]]
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− | **[[Liver - Anatomy & Physiology|liver]] parenchymal cells
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− | ***hepatoma
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− | ***[[Liver - Anatomy & Physiology|liver]] cell carcinoma
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− | **bile ducts
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− | ***cholangioma
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− | ***bile duct carcinoma
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− | **blood vessels
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− | ***haemangioma
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− | ***haemangiosarcoma
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− | **connective tissue
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− | ***fibroma
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− | ***sarcoma
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− | NB: [[Liver - Anatomy & Physiology|liver]] cell tumours and malignant bile duct tumours are the two most common primary hepatic neoplasms
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− | ===Hepatocytic===
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− | *[[Liver - Anatomy & Physiology|liver]] cell tumours are usually seen as discrete masses within the [[Liver - Anatomy & Physiology|liver]] parenchyma
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− | *the tumour tissue is usually reddish brown in colour
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− | *can be malignant, metastases occuring tothe local [[Lymph Nodes - Anatomy & Physiology|lymph nodes]] and lungs
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− | ====Adenoma====
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− | *seen mostly in sheep and cattle
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− | =====Gross=====
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− | *a single, pale, soft, often large nodule
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− | *well demarcated from adjacent tissue, often with a noticeable capsule
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− | =====Microscopically=====
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− | *normal hepatocytic appearance
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− | *no portal tracts within the mass
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− | *a capsule surrounds the growth
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| | | |
− | ====Carcinoma====
| + | </b></big> |
− | *more in dogs and cats
| + | |logo =path-logo.png |
− | =====Gross===== | + | }} |
− | *can be difficult to distinguish grossly from adenomas
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− | *usually one single large mass and additional smaller masses (intrahepatic metastases)
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− | *may have features of malignancy such as internal necrosis and haemorrhage
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− | =====Microscopically=====
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− | *can be very variable appearing as sheets or cords of neoplastic cells
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− | *cells generally smaller with a higher nucleus to cytoplasmic ratio
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| | | |
− | ===Cholangiocellular - bile duct===
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− | ====Adenoma====
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− | *very rare
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− | *reported in dogs and cats
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− | ====Carcinoma====
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− | *more common
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− | *reported in all species (mostly dogs and cats)
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− | =====Gross=====
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− | *usually multiple whitish umbilicated nodules that are present diffusely throughout the [[Liver - Anatomy & Physiology|liver]]
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− | **actually look as though they were secondary tumours
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− | *firm on cut surface
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− | **due to fibrosis
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− | =====Microscopically=====
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− | *distinctly adenocarcinomatous
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− | *ductal and acinar proliferation in abundant fibrous tissue
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− | *sometimes papillary formations
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− |
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− | ===Haemangiosarcoma===
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− | *can be primary in the [[Liver - Anatomy & Physiology|liver]]
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− | *other predilection sites
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− | **[[Spleen - Anatomy & Physiology|spleen]]
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− | **right auricle of the heart
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− | *prevalent in large breeds
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− |
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− | ==Secondary tumours==
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− | *Secondary metastatic involvement of the [[Liver - Anatomy & Physiology|liver]] is very common
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− | *in the dog, malignant pancreatic and splenic tumours commonly metastasise to the [[Liver - Anatomy & Physiology|liver]]
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− |
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− | ===Melanomas===
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− | *uveal melanoma in the cat
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− |
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− | ===Lymphosarcoma===
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− | *the most common secondary malignancy
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− | *can be present as nodules or be diffuse infiltration along the portal tracts
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− | ====Gross====
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− | *enlarged [[Liver - Anatomy & Physiology|liver]]
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− | *turgid and friable
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− | *many minute pale foci
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− | *diffusely pale
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− | ====Microscopically====
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− | *tumour cells are seen to spread diffusely through the sinusoids
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− |
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− | ===Carcinomas===
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− | *from a variety of origins
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− |
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− | ===Sarcomas===
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− |
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− | ===Mast cell tumours===
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| [[Category:Liver_-_Pathology]] | | [[Category:Liver_-_Pathology]] |