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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Format: | Article |
Language: | English |
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Sultan Qaboos University
2014-11-01
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Series: | Sultan Qaboos University Medical Journal |
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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. |
first_indexed | 2024-12-10T08:07:43Z |
format | Article |
id | doaj.art-5c044df069cf405cb02f3a01ff9b7638 |
institution | Directory Open Access Journal |
issn | 2075-051X 2075-0528 |
language | English |
last_indexed | 2024-12-10T08:07:43Z |
publishDate | 2014-11-01 |
publisher | Sultan Qaboos University |
record_format | Article |
series | Sultan Qaboos University Medical Journal |
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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