FNA of a Liver Mass in a Young Male
Sharvari Dalal, MD and Xiaoqi Lin, MD, PhD, FASCP
Presentation Date: March 2012; Expires: March 2015
A 24-year-old, previously healthy male presented with a severe lower back pain worsening over the course of 5 months. Physical examination was significant for right upper quadrant tenderness and left inguinal lymphadenopathy. CT scan with contrast of the abdomen and pelvis revealed numerous liver lesions measuring up to 2 cm as well as periportal, portacaval, and pelvic lymphadenopathy concerning for metastases. A 2.5 x 2.6 cm enhancing soft tissue mass attached to the seminal vesicle within the left side of the pelvis was also noted. Coarse calcifications were present within the mass. Serum tumor markers, such as, alpha-fetoprotein (AFP), cancer antigen 19-9 (CA19-9), carcinoembryonic antigen (CEA), human chorionic gonadotropin, and CA125 were negative. Percutaneous needle core biopsies of the liver lesions were obtained. What is the diagnosis of this lesion?