Pathology of the liver biopsy specimen indicated moderately differentiated adenocarcinoma with necrosis involving the liver parenchyma, and immunohistochemistry for mismatch repair proteins was positive for MutL Homolog 1, MutS Homolog 2, MutS Homolog 6, and Protein Homolog 2. The gene discussed is MLH1; the disease is adenocarcinoma.