CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2020; 41(04): 591-595
DOI: 10.4103/ijmpo.ijmpo_245_19
Case Reports and Review of Literature

Primary Hepatoid Adenocarcinoma of the Lung: A Study of Two Cases with Review of Literature

Contributor(s):
Ashwini Nargund
Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Mohit Agrawal
Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Priya Dharmalingam
Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Usha Amirtham
Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Malathi MukundaPai
Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Primary hepatoid adenocarcinoma (HAC) is a rare extrahepatic adenocarcinoma with morphological and phenotypical resemblance to hepatocellular carcinoma (HCC). It can occur in lung, stomach, gallbladder, pancreas, ovary, and uterus, with most common site being stomach. Morphological features of primary HAC of the lung are similar to HCC, so exclusion of metastatic HCC is necessary. In this report, we describe two cases of elderly men with primary pulmonary HAC who presented in advanced clinical stage and diagnosed by fine-needle aspiration cytology with immunohistochemistry. Both patients succumbed to death despite starting first cycle of chemotherapy.



Publication History

Received: 04 December 2019

Accepted: 30 June 2020

Article published online:
17 May 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Haninger DM, Kloecker GH, Bousamra Ii M, Nowacki MR, Slone SP. Hepatoid adenocarcinoma of the lung: Report of five cases and review of the literature. Mod Pathol 2014; 27: 535-42
  • 2 Metzgeroth G, Ströbel P, Baumbusch T, Reiter A, Hastka J. Hepatoid adenocarcinoma-Review of the literature illustrated by a rare case originating in the peritoneal cavity. Onkologie 2010; 33: 263-9
  • 3 Devaraj U, Vellaisamy G, Crasta J. Primary hepatoid adenocarcinoma of the lung. J Postgrad Med Edu Res 2016; 50: 103-6
  • 4 Ishikura H, Kanda M, Ito M, Nosaka K, Mizuno K. Hepatoid adenocarcinoma: A distinctive histological subtype of alpha-fetoprotein-producing lung carcinoma Virchows Archiv A, Pathological Anat. Histopathol 1990; 417: 73-80
  • 5 Grossman K, Beasley MB, Braman SS. Hepatoid adenocarcinoma of the lung: Review of a rare form of lung cancer. Respir Med 2016; 119: 175-9
  • 6 Motooka Y, Yoshimoto K, Semba T, Ikeda K, Mori T, Honda Y. et al. Pulmonary hepatoid adenocarcinoma: Report of a case. Surg Case Rep 2016; 2: 1
  • 7 Shao Y, Zhong DS, Wang D, Ma L. Hepatoid adenocarcinoma of the lung: A case report. Int J Clin Exp Pathol 2016; 9: 4067-72
  • 8 Esa NY, Zamrud R, Bakar NS, Eezamuddeen MA, Hamdan MF. Is it liver or lung cancer? An intriguing case of lung adenocarcinoma with hepatoid differentiation. Proceedings of Singapore Healthc 2018; 27: 55-8
  • 9 Sun JN, Zhang BL, Li LK, Yu HY, Wang B. Hepatoid adenocarcinoma of the lung without production of α-fetoprotein: A case report and review of the literature. Oncol Letters 2016; 12: 189-94
  • 10 Wu Z, Upadhyaya M, Zhu H, Qiao Z, Chen K, Miao F. Hepatoid adenocarcinoma: computed tomographic imaging findings with histopathologic correlation in 6 cases. J Comput Assist Tomogr 2007; 31: 846-52
  • 11 Nakashima K, Okagawa T. Hepatoid adenocarcinoma of the lung with high serum AFP and CEA values; Report of a case. Kyobu Geka 2018; 71: 76-9
  • 12 Khozin S, Roth MJ, Rajan A, Smith K, Thomas A, Berman A. et al. Hepatoid carcinoma of the lung with anaplastic lymphoma kinase gene rearrangement. J Thorac Oncol 2012; 7: e29-31
  • 13 Cavalcante LB, Felipe-Silva A, de Campos FP, Martines JA. Hepatoid adenocarcinoma of the lung. Autops Case Rep 2013; 3: 5-14
  • 14 Shaib W, Sharma R, Mosunjac M, Farris 3rd AB, El Rayes B. Hepatoid adenocarcinoma of the lung: A case report and review of the literature. J Gastrointest Cancer 2014; 45: 99-102 (Suppl 1)
  • 15 Che YQ, Wang S, Luo Y, Wang JB, Wang LH. Hepatoid adenocarcinoma of the lung: Presenting mediastinal metastasis without transfer to the liver. Oncol Lett 2014; 8: 105-10
  • 16 Karayiannakis AJ, Kakolyris S, Giatromanolaki A, Courcoutsakis N, Bolanaki H, Chelis L. et al. Hepatoid adenocarcinoma of the gallbladder: Case report and literature review. J Gastrointest Cancer 2012; 43 Suppl 1: S139-44
  • 17 Su JS, Chen YT, Wang RC, Wu CY, Lee SW, Lee TY. Clinicopathological characteristics in the differential diagnosis of hepatoid adenocarcinoma: A literature review. World J Gastroenterol 2013; 19: 321-7
  • 18 Jo JM, Kim JW, Heo SH, Shin SS, Jeong YY, Hur YH. Hepatic metastases from hepatoid adenocarcinoma of stomach mimicking hepatocellular carcinoma. Clin Mol Hepatol 2012; 18: 420-3