Just found out my Bro in law has liver & lung cancer, See report below:
Here is the last report. Is there any hope for him with the newest chemo treatments? Flag ALERT! FINAL DIAGNOSIS LIVER MASS, NEEDLE BIOPSY: POSITIVE FOR POORLY DIFFERENTIATED CARCINOMA; IMMUNOHISTOCHEMISTRY PENDING. PATHOLOGIST: xxxxxxxxxxx 08/27/2009 SOURCE A) liver mass biopsy PRE-OPERATIVE DIAGNOSIS liver masses - liver bx r/o mets, hx prostate ca, hx basal cell CA , lung mass (non-dx bx of lung) GROSS APPEARANCE Received in a container labeled with the patient's name and "liver masses" is a single brown and tan soft tissue needle core, 1.4 cm long, AE/(1). MICROSCOPIC EXAMINATION This liver core biopsy shows poorly differentiated carcinoma filling approximately three quarters of the core. Neoplasm consists of large, moderately pleomorphic cells which are arranged in a trabecular to subtle glandular to subtle sheetlike architecture, associated with focal tumor necrosis and stromal fibrosis. Yellow brown pigment compatible with bile is noted within the tumor. Tumor displays a high mitotic rate with scattered mitotic figures and apoptotic neoplastic cells. Metastatic prostate carcinoma is a possibility as nuclear features are similar to but the neoplastic cells do not show the mucinous cytoplasm which is noted in the patient's previously identified prostatic neoplasm (03-18394s). Because of the intermixed bile pigment and trabecular features, hepatocellular carcinoma cannot be completely excluded. Features are not those of typical metastatic lung carcinoma, but that could be in the differential. The tumor blends with/merges into benign hepatic parenchyma. COMMENT: Unstained precut slides and block have been forwarded to ARUP laboratory for immunohistochemistry. The IHC slides will be read by Group Health Pathology and an addendum report issued when those results are available.