Atypical Hepatic Mesenchymal Hamartoma: Histologic Appearance, Immunophenotype, and Molecular Findings

Author:

El Demellawy Dina1,Lee James YJ2,McDonell Laura3,Dyment David A3,Knisely AS4,McGowan-Jordan Jean5,Ngan Bo6,Finegold Milton7,Kapur Raj P8,Nasr Ahmed9

Affiliation:

1. Department of Pathology, Children’s Hospital of Eastern Ontario and University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada

2. University of Ottawa, Ottawa, Ontario, Canada

3. Department of Clinical Genetics, Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada

4. Institut für Pathologie, Medizinische Universität Graz, Graz, Austria

5. Department of Genetics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario, Canada

6. Department of Pathology, The Hospital for Sick Children, Toronto, Ontario, Canada

7. Department of Pathology, Baylor College of Medicine, Houston, Texas

8. Department of Pathology, Seattle Children’s Hospital, Seattle, Washington

9. Department of Pediatric Surgery, Children’s Hospital of Eastern Ontario and University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada

Abstract

Hepatic mesenchymal hamartoma is a rare benign neoplasm principally encountered in young children. Its origin is unknown. We report an unusual hepatic mesenchymal hamartoma in a 7-month-old girl, including histopathologic findings, immunophenotype, and karyotype. Chromosomal microarray analysis of tumoral tissue and circulating lymphocytes found 4 copies of a segment at 1q44 and fluorescence in situ hybridization indicated tandem triplication, ascribed to expansion of a paternal tandem duplication. This genetic abnormality may have played a role in pathogenesis.

Publisher

SAGE Publications

Subject

General Medicine,Pathology and Forensic Medicine,Pediatrics, Perinatology, and Child Health

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