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Cytomorphology of intraductal oncocytic papillary neoplasm of the liver
Author(s) -
Jurczyk Matthew F.,
Zhu Bing,
Villa Celina,
DeFrias Denise,
Lin Xiaoqi
Publication year - 2014
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.23073
Subject(s) - pathology , medicine , histology , cytopathology , cuboidal cell , differential diagnosis , bile duct , cytology , biopsy , immunohistochemistry , gastroenterology
We describe the first cytology case report of an intraductal oncocytic papillary neoplasm (IOPN) of the liver. A 51‐year‐old male presented with recurrent cholangitis. Magnetic resonance imaging and endoscopic retrograde cholangiopancreatogram revealed a 1.1 × 0.9 cm polypoid lesion within the left intrahepatic bile duct. Fine‐needle aspiration and needle core biopsy (NCB) revealed nests, 3‐dimensional or papillary clusters of columnar or cuboidal cells with loss of polarity. The nuclei were uniform with even chromatin, and cytoplasm was granular or vacuolated. No mitosis or necrosis was seen. The cytologic and histologic diagnosis was “consistent with Intraductal Oncocytic Papillary Neoplasm (IOPN), intermediate grade (borderline).” The patient then underwent a left lateral liver segmentectomy. Microscopic examination showed histology similar to the NCB with no stromal invasion identified. Hepatic IOPN poses a diagnostic challenge due to its broad differential diagnoses. Both malignant and non‐malignant IOPNs may present with similar clinical symptoms, pathology, histology, cytomorphology, and immunohistochemistry. Hepatic IOPN should be excised as it is a precursor lesion of adenocarcinoma. Diagn. Cytopathol. 2014;42:895–898. © 2013 Wiley Periodicals, Inc.