GROSS DESCRIPTION:
The specimen is received in two parts.
Part 1:
Part 1 is received unfixed labeled "liver". It consists of a 1500 gram total native hepatectomy specimen without attached gallbladder, 30.0 x 18.0 x 10.0 cm. The caudate lobe is 4.5 x 2.5 x 2.0 cm. and there is no attached inferior vena cava. The hepatic veins are probe patent with smooth, intimal surfaces. The capsular surface is markedly firm with diffuse dark green-tan nodules, ranging from less than 0.1 to 0.7 cm. in diameter. The left lobe exhibits a "beaver tail" configuration. At the hilus, the portal vein, right and left hepatic arteries and common hepatic duct are probe patent and grossly unremarkable. No hilar lymph nodes are identified. On cross section, the cut surface shows diffuse dark green to dull yellow-tan, moderately well circumscribed nodularity, ranging from less than 0.1 to 0.9 cm. in diameter. The median segment of the left lobe exhibits a 0.8 cm. in diameter markedly softened, yellow-tan and red nodule. The peripheral vasculature and ducts appear patent. Tissue is frozen in OCT and bulk and some is retained in buffered formalin. Digital imaging photos are taken and representative sections are submitted.
Part 2:
Part 2 is labeled "post-perfusion liver biopsy". It consists of a 1.8 x 0.2 x 0.2 cm. of tan, soft tissue. Totally submitted.
Microscopic Description