Hepatic cystic lesion in adult: a challenging diagnosis of undifferentiated primary embryonal sarcoma

Massani, Marco and Caratozzolo, Ezio and Baldessin, Monica and Bonariol, Luca and Bassi, Nicolò (2010) Hepatic cystic lesion in adult: a challenging diagnosis of undifferentiated primary embryonal sarcoma. Il giornale di chirurgia, 31 (5). pp. 225-228. ISSN 1971-145X

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Cystic lesions of the liver are common. Most of these represent benign simple cysts that generally require no intervention. The diagnosis of simple hepatic cysts is straightforward in the face of typical radiographic findings; however, diagnostic uncertainty, based solely on radiographic criteria alone, is not an uncommon clinical dilemma. In this report, we present a case of a 47 old woman with a cystic liver lesion and acute epigastric pain. The patient had no previous history of oral contraceptive assumption or liver disease. A tender mass was palpable on the upper right quadrant of the abdomen. The abdominal ultrasound (US) showed a cystic lesion with a possible hemorrhagic component on right liver lobe. Abdominal computed tomography (CT) and magnetic resonance (MR) revealed a complex cystic lesion with possible intracystic hemorrhage. The patient was submitted to operation and resection; the final histologic diagnosis revealed a primary undifferentiated embryonal sarcoma of the liver. She relapsed 24 months after a new hepatic resection and chemo-embolization, she is alive at 29 months after first surgery.

Item Type: Article
Uncontrolled Keywords: Liver - Hepatic cyst - Sarcoma - Adults
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 11 Apr 2016 16:12
Last Modified: 11 Apr 2016 16:12
URI: http://eprints.bice.rm.cnr.it/id/eprint/6808

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