A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess

An undifferentiated embryonal sarcoma of the liver is a rare malignant tumour. We highlight the diagnostic dilemma and differential diagnosis of a case involving a large cystic liver lesion in a young adult. A 20-year-old man presented with a large liver lesion to the Universiti Kebangsaan Malaysia...

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Main Authors: Mohammad Hanafiah, Azyani Yahya, Zamri Zuhdi, Yazmin Yaacob
Format: Article
Language:English
Published: Sultan Qaboos University 2014-11-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1973
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author Mohammad Hanafiah
Azyani Yahya
Zamri Zuhdi
Yazmin Yaacob
author_facet Mohammad Hanafiah
Azyani Yahya
Zamri Zuhdi
Yazmin Yaacob
author_sort Mohammad Hanafiah
collection DOAJ
description An undifferentiated embryonal sarcoma of the liver is a rare malignant tumour. We highlight the diagnostic dilemma and differential diagnosis of a case involving a large cystic liver lesion in a young adult. A 20-year-old man presented with a large liver lesion to the Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia, in February 2012. The initial clinico-radiological presentations were suggestive of a liver abscess. A total tumour resection was performed and the final histopathological results of the resected specimen indicated an undifferentiated embryonal sarcoma of the liver. The ultrasound and computed tomographic images of the tumour were reviewed and found to be contradictory in appearance, as the tumour seemed predominantly solid in the ultrasound image and predominantly cystic in the computed tomographic image. Familiarisation with the imaging appearance of this tumour and a high index of suspicion is therefore crucial in making a successful diagnosis.
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spelling doaj.art-5c044df069cf405cb02f3a01ff9b76382022-12-22T01:56:38ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282014-11-011445785811896A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver AbscessMohammad Hanafiah0Azyani Yahya1Zamri Zuhdi2Yazmin Yaacob3Medical Imaging Unit, Universiti Teknologi MARA, Selangor, MalaysiaDepartments of Pathology, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, MalaysiaDepartments of Surgery, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, MalaysiaDepartments of Radiology, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, MalaysiaAn undifferentiated embryonal sarcoma of the liver is a rare malignant tumour. We highlight the diagnostic dilemma and differential diagnosis of a case involving a large cystic liver lesion in a young adult. A 20-year-old man presented with a large liver lesion to the Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia, in February 2012. The initial clinico-radiological presentations were suggestive of a liver abscess. A total tumour resection was performed and the final histopathological results of the resected specimen indicated an undifferentiated embryonal sarcoma of the liver. The ultrasound and computed tomographic images of the tumour were reviewed and found to be contradictory in appearance, as the tumour seemed predominantly solid in the ultrasound image and predominantly cystic in the computed tomographic image. Familiarisation with the imaging appearance of this tumour and a high index of suspicion is therefore crucial in making a successful diagnosis.https://journals.squ.edu.om/index.php/squmj/article/view/1973sarcomaliver abscessultrasound imagingx-ray computed tomographycase reportmalaysia.
spellingShingle Mohammad Hanafiah
Azyani Yahya
Zamri Zuhdi
Yazmin Yaacob
A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess
Sultan Qaboos University Medical Journal
sarcoma
liver abscess
ultrasound imaging
x-ray computed tomography
case report
malaysia.
title A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess
title_full A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess
title_fullStr A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess
title_full_unstemmed A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess
title_short A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess
title_sort case of an undifferentiated embryonal sarcoma of the liver mimicking a liver abscess
topic sarcoma
liver abscess
ultrasound imaging
x-ray computed tomography
case report
malaysia.
url https://journals.squ.edu.om/index.php/squmj/article/view/1973
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