15599              MASSIVE FIBROMA OF THE LIVER

The patient was a man aged 66. Gross enlargement of the liver was found 7 weeks before his death from pleurisy and pulmonary oedema secondary to a doubtful brain stem infarct (not confirmed at postmortem).

The specimen consists of a portion of the liver sectioned to show part of a very large rounded tumour some 20 cms in diameter. The tumour is sharply demarcated from the surrounding liver and has a thin fibrous capsule. The cut surface is bile-stained fleshy tissue and there is marked central degeneration. Histology shows an actively growing cellular spindle-celled fibroma, with some more anaplastic and pleomorphic cells.