We describe a primary osteosarcoma of the liver in a 72 year old man.
The man was symptomatic and had suffered abdominal pain and distension
for four months before he died. At autopsy a large tumor of the liver
with direct extension into adjacent structures was found. There was n
o evidence of primary tumor or primary bone lesion at any other site.
Histologically, the tumor comprised malignant cells producing abundant
osteoid arranged in a lace-like pattern. Smaller chondroblastic and f
ibroblastic components were also present. These findings were in keepi
ng with a diagnosis of primary hepatic osteosarcoma.