Undifferentiated embryonal sarcoma of the liver mimicking acute appendicitis. Case report and review of the literature

World Journal of Surgical Oncology
Timothy SakellaridisChristos Antiochos

Abstract

Undifferentiated embryonal sarcoma (UES) of liver is a rare malignant neoplasm, which affects mostly the pediatric population accounting for 13% of pediatric hepatic malignancies, a few cases has been reported in adults. We report a case of undifferentiated embryonal sarcoma of the liver in a 20-year-old Caucasian male. The patient was referred to us for further investigation after a laparotomy in a district hospital for spontaneous abdominal hemorrhage, which was due to a liver mass. After a through evaluation with computed tomography scan and magnetic resonance imaging of the liver and taking into consideration the previous history of the patient, it was decided to surgically explore the patient. Resection of I-IV and VIII hepatic lobe. Patient developed disseminated intravascular coagulation one day after the surgery and died the next day. It is a rare, highly malignant hepatic neoplasm, affecting almost exclusively the pediatric population. The prognosis is poor but recent evidence has shown that long-term survival is possible after complete surgical resection with or without postoperative chemotherapy.

References

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Citations

May 9, 2008·European Radiology·Ri-Sheng YuXiu-Fang Xu
Oct 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Silvia PacheraMasato Nagino
Jun 19, 2010·Gut and Liver·Jin Young YoonChae Yoon Chon
Jun 13, 2012·Case Reports in Surgery·Nicole Lightfoot, Mehrdad Nikfarjam
Mar 19, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ellen M ChungRichard M Conran
Apr 17, 2015·World Journal of Surgical Oncology·Yu-Hung LinChih-Chi Wang
Jan 23, 2015·Archives of Pathology & Laboratory Medicine·Juan Putra, Kim Ornvold
Apr 28, 2018·Journal of Pediatric Hematology/oncology·Michele A CapozzaFelice Giuliante
Mar 26, 2008·Cancer·Frank LenzeWolfram Domschke
Aug 9, 2008·Pediatric Radiology·Serhan KüpeliMünevver Büyükpamukçu
Aug 15, 2014·Oncology Letters·Bin HeYunfeng Shan
Sep 27, 2018·Case Reports in Oncological Medicine·Mingxia ShiXin Gu
Sep 15, 2018·Annals of Hepato-biliary-pancreatic Surgery·Sánchez-Morales Germán EstebanMercado Miguel Angel
Mar 5, 2016·Journal of Computer Assisted Tomography·Abhijit SunnapwarMarc Erian
Nov 17, 2020·World Journal of Clinical Cases·Chong ZhangYang Ding
Aug 19, 2007·Gastroenterología y hepatología·Pablo MenéndezJosé María Menéndez Rubio
Jan 26, 2008·Gastroenterología y hepatología·Montiel Jiménez FuertesJosé Mir Pallardó

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Methods Mentioned

BETA
surgical resection
biopsy

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