A 78-year-old woman with a history of hepatitis C and liver mass underwent a lobectomy, which was remarkable for a 12.0 cm, focally necrotic, yellow/green variegated mass. The margins of resection including diaphragm were free of tumor. The tumor was positive for HepPar-1 and α-fetoprotein (AFP) and negative for chromogranin, synaptophysin, HMB-45 and Leu-M1.
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• Focal nodular hyperplasia
• Hepatocellular carcinoma
• Metastatic renal cell carcinoma
• Neuroendocrine tumor
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• Appropriate diagnosis
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