• Internal medicine · Oct 2020

    Case Reports

    Undifferentiated Embryonal Sarcoma of the Liver Identified after the Initial Diagnosis of a Hepatic Cyst: A Case Report.

    • Yusaku Manabe, Haruki Uojima, Hisashi Hidaka, Xue Shao, Shuichiro Iwasaki, Naohisa Wada, Kousuke Kubota, Yoshiaki Tanaka, Takahide Nakazawa, Akitaka Shibuya, Masaaki Ichinoe, Yusuke Kumamoto, Takashi Kaizu, and Wasaburo Koizumi.
    • Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan.
    • Intern. Med. 2020 Oct 1; 59 (19): 2375-2382.

    AbstractAbdominal ultrasound in a 50-year-old Japanese man revealed a cystic lesion on the caudate lobe of the liver. Four-month follow-up imaging showed a rapid increase in the size of the cystic lesion. The patient underwent laparoscopic partial hepatectomy because of a suspicion and perceived risk that the lesion might be malignant. The initial histological diagnosis was a hepatic cyst. Eleven months later, computed tomography showed a giant cystic lesion in the abdominal cavity and multiple liver metastases. The patient underwent excision of the giant cystic lesion and a partial hepatectomy. Immunohistochemistry for the recurring lesion revealed undifferentiated embryonal sarcoma of the liver.

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