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Pathology of Liver and Biliary Neoplasms
1Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Hematology/Oncology Clinics of North America
|June 19, 2026
Summary
This review covers primary liver tumors, focusing on hepatocellular carcinoma and cholangiocarcinoma. It details their molecular features, diagnostic challenges, and therapy-related changes for assessing treatment response.
Area of Science:
- Hepatology and Pathology
- Oncology
Background:
- Liver tumors encompass a range of neoplasms affecting the liver.
- Primary hepatic tumors arise from liver cells or bile ducts.
- Hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA) are the most prevalent primary liver malignancies.
Purpose of the Study:
- To provide a comprehensive overview of primary liver tumors.
- To highlight key molecular and histological features of HCC and CCA.
- To discuss diagnostic challenges and therapy-related changes in liver tumors.
Main Methods:
- Review of current literature on liver tumor classification, molecular features, and diagnostics.
- Focus on hepatocellular carcinoma and cholangiocarcinoma.
- Inclusion of pathologist's perspective on diagnostic challenges and assessment of treatment response.
Main Results:
- Detailed classification of primary hepatic tumors.
- Emphasis on molecular characteristics and histologic variants of HCC and CCA.
- Insights into diagnostic difficulties and practical approaches for pathologists.
- Discussion of therapy-related changes for treatment response evaluation.
Conclusions:
- Accurate diagnosis and understanding of molecular features are crucial for managing liver tumors.
- Pathologists play a key role in navigating diagnostic challenges.
- Assessment of therapy-related changes is vital for monitoring treatment efficacy in liver cancer.
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