Synchronous occurrence of a hepatic myelolipoma and two hepatocellular carcinomas

Figure 2 Microscopic examination. A and B: The tumor (red arrow) in the right liver lobe consists of adipose tissue and hematopoietic elements containing erythroid tissue, megakaryocytes and myeloid colonies, consistent with a myelolipoma (A: HE, 100 ×; B: HE, 400 ×); C and D: The tumor cells (black arrow) in the left liver lobe are in a funicular arrangement and are growing invasively with significant atypia, compatible with a malignant hepatic cancer (C: HE, 100 ×; D: HE, 400 ×). The areas marked by green arrows are normal liver tissue. HE: Hematoxylin and eosin.