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Embryonal sarcoma of the liver in an adult patient.

Lightfoot N, Nikfarjam M - Case Rep Surg (2012)

Bottom Line: A case of an UES of the liver with an isolated peritoneal metastasis is described.The patient presented with a palpable mass with imaging findings suggestive of a cystic tumour.An UES should be considered in the differential of large cystic hepatic lesions, with aggressive surgical resection considered when possible.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, The University of Melbourne, Austin Health, Heidelberg, Melbourne, VIC 3084, Australia.

ABSTRACT
Undifferentiated embryonal sarcomas (UESs) are uncommon tumours that are seen predominantly in late childhood. Cases in adults are rare and generally present once a large mass develops and may be mistaken for other tumours. A case of an UES of the liver with an isolated peritoneal metastasis is described. The patient presented with a palpable mass with imaging findings suggestive of a cystic tumour. She had complete surgical resection of the liver mass and isolated peritoneal metastasis. She was tumour-free on imaging at 6 months without adjuvant chemotherapy. An UES should be considered in the differential of large cystic hepatic lesions, with aggressive surgical resection considered when possible.

No MeSH data available.


Related in: MedlinePlus

(a) Coronal computed tomography imaging demonstrating cystic tumour within the liver with more peripheral solid component. (b) Intraoperative image of large, partially haemorrhagic hepatic tumour overlying the right colon.
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fig1: (a) Coronal computed tomography imaging demonstrating cystic tumour within the liver with more peripheral solid component. (b) Intraoperative image of large, partially haemorrhagic hepatic tumour overlying the right colon.

Mentions: A 78-year-old female presented with asymptomatic upper abdominal mass. Computed tomography (CT) was performed and demonstrated an encapsulated solid and cystic tumour involving the right lobe of the liver, measuring 16 cm in maximum diameter (Figure 1(a)). Positron emission tomography (PET) showed intense peripheral metabolic activity with a photopenic core, suspicious for a malignant tumour with central cystic, haemorrhagic or necrotic change. There was no evidence of underlying liver disease on blood tests, and tumour markers including carcinoembryonic antigen (CEA), carbohydrate antigen (CA-19.9), alpha feto protein (AFP), and chromogranin A were within normal limits.


Embryonal sarcoma of the liver in an adult patient.

Lightfoot N, Nikfarjam M - Case Rep Surg (2012)

(a) Coronal computed tomography imaging demonstrating cystic tumour within the liver with more peripheral solid component. (b) Intraoperative image of large, partially haemorrhagic hepatic tumour overlying the right colon.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368299&req=5

fig1: (a) Coronal computed tomography imaging demonstrating cystic tumour within the liver with more peripheral solid component. (b) Intraoperative image of large, partially haemorrhagic hepatic tumour overlying the right colon.
Mentions: A 78-year-old female presented with asymptomatic upper abdominal mass. Computed tomography (CT) was performed and demonstrated an encapsulated solid and cystic tumour involving the right lobe of the liver, measuring 16 cm in maximum diameter (Figure 1(a)). Positron emission tomography (PET) showed intense peripheral metabolic activity with a photopenic core, suspicious for a malignant tumour with central cystic, haemorrhagic or necrotic change. There was no evidence of underlying liver disease on blood tests, and tumour markers including carcinoembryonic antigen (CEA), carbohydrate antigen (CA-19.9), alpha feto protein (AFP), and chromogranin A were within normal limits.

Bottom Line: A case of an UES of the liver with an isolated peritoneal metastasis is described.The patient presented with a palpable mass with imaging findings suggestive of a cystic tumour.An UES should be considered in the differential of large cystic hepatic lesions, with aggressive surgical resection considered when possible.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, The University of Melbourne, Austin Health, Heidelberg, Melbourne, VIC 3084, Australia.

ABSTRACT
Undifferentiated embryonal sarcomas (UESs) are uncommon tumours that are seen predominantly in late childhood. Cases in adults are rare and generally present once a large mass develops and may be mistaken for other tumours. A case of an UES of the liver with an isolated peritoneal metastasis is described. The patient presented with a palpable mass with imaging findings suggestive of a cystic tumour. She had complete surgical resection of the liver mass and isolated peritoneal metastasis. She was tumour-free on imaging at 6 months without adjuvant chemotherapy. An UES should be considered in the differential of large cystic hepatic lesions, with aggressive surgical resection considered when possible.

No MeSH data available.


Related in: MedlinePlus