A case of lipid-rich neuroendocrine tumor of the gallbladder mimicking a cholesterol polyp

Autor: Yasuji Yoshikawa, Takashi Masuda
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Human Pathology: Case Reports, Vol 20, Iss , Pp 200373- (2020)
Druh dokumentu: article
ISSN: 2214-3300
DOI: 10.1016/j.ehpc.2020.200373
Popis: Neuroendocrine tumors (NETs) are rare in the gallbladder possibly because of paucity of the precursor neuroendocrine cells in this organ. Lipid-rich NET (LR-NET), also known as clear cell NET, is a rare but distinct variant of NET observed in various organs. In the gallbladder of the case reported herein, there was a pedunculated polypoid mass of golden-yellow in color which macroscopically mimicked a cholesterol polyp, albeit somewhat larger. Histologically the polyp showed accumulation of foamy lipid containing cells in the lamina propria covered by normal columnar epithelial cells, thus again resembling a cholesterol polyp. However, the foamy cells often showed ribbon-like arrangement and were immunohistochemically strongly positive for neuroendocrine markers. This report represents gross and microscopic features, including fat stain, of a peculiar type of LR-NET in the gallbladder. A rare but important differential diagnostic consideration in cholesterol polyp-like lesions seen on cholecystectomy specimens is presented.
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