Desmoplastic nested spindle cell tumours and nested stromal epithelial tumours of the liver

APMIS. 2016 Apr;124(4):245-51. doi: 10.1111/apm.12502. Epub 2016 Jan 14.

Abstract

Desmoplastic nested spindle cell tumour of liver (DNSTL), nested stromal-epithelial tumour (NSET) and calcifying nested stromal-epithelial tumour (CNSET) are recently described entities with similar morphology, immunohistochemistry and molecular genetics. These are rare entities with only three large case series described till date. These tumours commonly present in the paediatric age group. NSETs, in addition have been described to be associated with ectopic adrenocorticotropic hormone (ACTH) production and Cushingoid features. It is important to discuss this rare group of tumours with a low malignant potential as the most common radiological differential diagnosis is hepatoblastoma, which has a relatively poorer prognosis. Thus, a pathologist needs to keep this entity in mind, so as to offer a correct histological diagnosis.

Keywords: Desmoplastic nested spindle cell tumour; liver; nested stromal-epithelial tumour.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adrenocorticotropic Hormone / genetics
  • Adrenocorticotropic Hormone / metabolism
  • Carcinoma / diagnosis*
  • Carcinoma / genetics
  • Carcinoma / metabolism
  • Carcinoma / pathology
  • Child
  • Child, Preschool
  • Desmoplastic Small Round Cell Tumor / diagnosis*
  • Desmoplastic Small Round Cell Tumor / genetics
  • Desmoplastic Small Round Cell Tumor / metabolism
  • Desmoplastic Small Round Cell Tumor / pathology
  • Diagnosis, Differential
  • Epithelial Cells / metabolism
  • Epithelial Cells / pathology
  • Gene Expression
  • Hepatoblastoma / diagnosis*
  • Hepatoblastoma / genetics
  • Hepatoblastoma / metabolism
  • Hepatoblastoma / pathology
  • Humans
  • Liver / metabolism
  • Liver / pathology*
  • Liver Neoplasms / diagnosis*
  • Liver Neoplasms / genetics
  • Liver Neoplasms / metabolism
  • Liver Neoplasms / pathology
  • Prognosis
  • Stromal Cells / metabolism
  • Stromal Cells / pathology
  • Young Adult

Substances

  • Adrenocorticotropic Hormone