Skip to main content
Top
Published in: Journal of Gastrointestinal Cancer 3/2019

01-09-2019 | Case Report

Hanging Undifferentiated Embryonal Sarcoma of the Liver in Adult: an Unusual Presentation of an Aggressive Tumor

Authors: Narendra Pandit, Kunal Bikram Deo, Lokesh Shekher Jaiswal, Anju Pradhan, Shailesh Adhikary

Published in: Journal of Gastrointestinal Cancer | Issue 3/2019

Login to get access

Excerpt

Undifferentiated embryonal sarcoma of the liver (UESL) is a rare, highly aggressive hepatic neoplasm of mesenchymal origin seen almost exclusively in pediatric population [1]. It was termed UESL for the first time by Stocker et al. in 1978 [2]. This disease is very rare in adults with less than 70 cases reported in English literature [35]. Though the tumor usually presents as a large liver tumor in an adult, a giant (> 10 cm) and hanging tumor arising from the Reidel’s lobe of the liver over a narrow stalk is very unusual and has not been reported in literature to date. We describe a case of a 29-year-old young female with a short clinical course and resectable hanging UESL, but unfortunately developed early recurrence despite R0 resection, signifying a poor prognosis disease. …
Literature
1.
go back to reference Putra J, Ornvold K. Undifferentiated embryonal sarcoma of the liver: a concise review. Arch Pathol Lab Med. 2015;139:269–73.CrossRefPubMed Putra J, Ornvold K. Undifferentiated embryonal sarcoma of the liver: a concise review. Arch Pathol Lab Med. 2015;139:269–73.CrossRefPubMed
2.
go back to reference Stocker JT, Ishak KG. Undifferentiated (embryonal) sarcoma of the liver. Report of 31 cases. Cancer. 1978;42:336–48.CrossRefPubMed Stocker JT, Ishak KG. Undifferentiated (embryonal) sarcoma of the liver. Report of 31 cases. Cancer. 1978;42:336–48.CrossRefPubMed
3.
go back to reference Li XW, Gong SJ, Song WH, Zhu JJ, Pan CH, Wu MC, et al. Undifferentiated liver embryonal sarcoma in adults: a report of four cases and literature review. World J Gastroenterol. 2010;16(37):4725–32.CrossRefPubMedCentralPubMed Li XW, Gong SJ, Song WH, Zhu JJ, Pan CH, Wu MC, et al. Undifferentiated liver embryonal sarcoma in adults: a report of four cases and literature review. World J Gastroenterol. 2010;16(37):4725–32.CrossRefPubMedCentralPubMed
4.
go back to reference Lenze F, Birkfellner T, Lenz P, Hussein K, Länger F, Kreipe H, et al. Undifferentiated embryonal sarcoma of the liver in adults. Cancer. 2008;112(10):2274–82.CrossRefPubMed Lenze F, Birkfellner T, Lenz P, Hussein K, Länger F, Kreipe H, et al. Undifferentiated embryonal sarcoma of the liver in adults. Cancer. 2008;112(10):2274–82.CrossRefPubMed
5.
go back to reference Kallam A, Krishnamurthy J, Kozel J, Shonka N. Undifferentiated embryonal sarcoma of liver. Rare Tumors. 2015;7:130–2.CrossRef Kallam A, Krishnamurthy J, Kozel J, Shonka N. Undifferentiated embryonal sarcoma of liver. Rare Tumors. 2015;7:130–2.CrossRef
6.
go back to reference Cao Q, Ye Z, Chen S, Liu N, Li S, Liu F. Undifferentiated embryonal sarcoma of liver: a multi-institutional experience with 9 cases. Int J Clin Exp Pathol. 2014;7(12):8647–56.PubMedCentralPubMed Cao Q, Ye Z, Chen S, Liu N, Li S, Liu F. Undifferentiated embryonal sarcoma of liver: a multi-institutional experience with 9 cases. Int J Clin Exp Pathol. 2014;7(12):8647–56.PubMedCentralPubMed
7.
go back to reference Lightfoot N, Nikfarjam M. Embryonal sarcoma of the liver in an adult patient. Case Rep Surg. 2012, Article ID 382723. 4 pages. Lightfoot N, Nikfarjam M. Embryonal sarcoma of the liver in an adult patient. Case Rep Surg. 2012, Article ID 382723. 4 pages.
8.
go back to reference Yang L, Chen B, Xiao J, Han P. Clinical features and spiral computed tomography analysis of undifferentiated embryonic liver sarcoma in adults. J Dig Dis. 2009;10(4):305–9.CrossRefPubMed Yang L, Chen B, Xiao J, Han P. Clinical features and spiral computed tomography analysis of undifferentiated embryonic liver sarcoma in adults. J Dig Dis. 2009;10(4):305–9.CrossRefPubMed
9.
go back to reference Zanwar S, Goel M, Patkar S, Ramaswamy A, Shetty N, Ramadwar M, et al. A case of ruptured adult embryonal sarcoma of the liver with excellent outcome after neoadjuvant chemotherapy. J Gastrointest Cancer. 2017 Mar;48(1):100–2.CrossRefPubMed Zanwar S, Goel M, Patkar S, Ramaswamy A, Shetty N, Ramadwar M, et al. A case of ruptured adult embryonal sarcoma of the liver with excellent outcome after neoadjuvant chemotherapy. J Gastrointest Cancer. 2017 Mar;48(1):100–2.CrossRefPubMed
10.
go back to reference Chen JH, Lee CH, Wei CK, Chang SM, Yin WY. Undifferentiated embryonal sarcoma of the liver with focal osteoid picture—a case report. Asian J Surg. 2013 Oct;36(4):174–8.CrossRefPubMed Chen JH, Lee CH, Wei CK, Chang SM, Yin WY. Undifferentiated embryonal sarcoma of the liver with focal osteoid picture—a case report. Asian J Surg. 2013 Oct;36(4):174–8.CrossRefPubMed
12.
go back to reference Coumbaras M, Wendum D, Monnier-Cholley L, Dahan H, Tubiana JM, Arrivé L. CT and MR imaging features of pathologically proven atypical giant hemangiomas of the liver. AJR Am J Roentgenol. 2002;179:1457–63.CrossRefPubMed Coumbaras M, Wendum D, Monnier-Cholley L, Dahan H, Tubiana JM, Arrivé L. CT and MR imaging features of pathologically proven atypical giant hemangiomas of the liver. AJR Am J Roentgenol. 2002;179:1457–63.CrossRefPubMed
13.
go back to reference Moon WK, Kim WS, Kim IO, Yeon KM, Yu IK, Choi BI, et al. Undifferentiated embryonal sarcoma of the liver: US and CT findings. Pediatr Radiol. 1994;24(7):500–3.CrossRefPubMed Moon WK, Kim WS, Kim IO, Yeon KM, Yu IK, Choi BI, et al. Undifferentiated embryonal sarcoma of the liver: US and CT findings. Pediatr Radiol. 1994;24(7):500–3.CrossRefPubMed
14.
go back to reference Kim HH, Kim JC, Park EK, Hur YH, Koh YS, Cho CK, et al. Undifferentiated embryonal sarcoma of the liver presenting as a hemorrhagic cystic tumor in an adult. Hepatobiliary Pancreat Dis Int. 2011;10:657–60.CrossRefPubMed Kim HH, Kim JC, Park EK, Hur YH, Koh YS, Cho CK, et al. Undifferentiated embryonal sarcoma of the liver presenting as a hemorrhagic cystic tumor in an adult. Hepatobiliary Pancreat Dis Int. 2011;10:657–60.CrossRefPubMed
15.
go back to reference Khan ZH, Ilyas K, Khan HH, Ghazanfar H, Hussain Q, Inayat F, et al. Unresectable undifferentiated embryonal sarcoma of the liver in an adult male treated with chemotherapy and orthotopic liver transplantation. Cureus. 2017 Oct 8;9(10):e1759.PubMedCentralPubMed Khan ZH, Ilyas K, Khan HH, Ghazanfar H, Hussain Q, Inayat F, et al. Unresectable undifferentiated embryonal sarcoma of the liver in an adult male treated with chemotherapy and orthotopic liver transplantation. Cureus. 2017 Oct 8;9(10):e1759.PubMedCentralPubMed
16.
go back to reference Treitl D, Roudenko A, El Hussein S, Rizer M, Bao P. Adult embryonal sarcoma of the liver: management of a massive liver tumor. Case Rep Surg. 2016;2016:5625762.PubMedCentralPubMed Treitl D, Roudenko A, El Hussein S, Rizer M, Bao P. Adult embryonal sarcoma of the liver: management of a massive liver tumor. Case Rep Surg. 2016;2016:5625762.PubMedCentralPubMed
17.
go back to reference Mori A, Fukase K, Masuda K, Sakata N, Mizuma M, Ohtsuka H, et al. A case of adult undifferentiated embryonal sarcoma of the liver successfully treated with right trisectionectomy: a case report. Surg Case Rep. 2017;3(1):19.CrossRefPubMedCentralPubMed Mori A, Fukase K, Masuda K, Sakata N, Mizuma M, Ohtsuka H, et al. A case of adult undifferentiated embryonal sarcoma of the liver successfully treated with right trisectionectomy: a case report. Surg Case Rep. 2017;3(1):19.CrossRefPubMedCentralPubMed
18.
go back to reference Giakoustidis DE, Gargavanis AA, Katsiki ED, Salveridis NT, Antoniadis NA, Papanikolaou V. Undifferentiated embryonal sarcoma of the liver in a young female: treatment with portal vein embolization and liver trisectonectomy. Korean J Hepatobiliary Pancreat Surg. 2016;20(3):144–7.CrossRefPubMedCentralPubMed Giakoustidis DE, Gargavanis AA, Katsiki ED, Salveridis NT, Antoniadis NA, Papanikolaou V. Undifferentiated embryonal sarcoma of the liver in a young female: treatment with portal vein embolization and liver trisectonectomy. Korean J Hepatobiliary Pancreat Surg. 2016;20(3):144–7.CrossRefPubMedCentralPubMed
19.
go back to reference Jia C, Zhao W, Dai C, Wang X, Bu X, Peng S, et al. Undifferentiated embryonal sarcoma of the liver in a middle-aged adult with systemic lupus erythematosus. World J Surg Oncol. 2013;11:244.CrossRefPubMedCentralPubMed Jia C, Zhao W, Dai C, Wang X, Bu X, Peng S, et al. Undifferentiated embryonal sarcoma of the liver in a middle-aged adult with systemic lupus erythematosus. World J Surg Oncol. 2013;11:244.CrossRefPubMedCentralPubMed
20.
go back to reference Lee KH, Maratovich MN, Lee KB. Undifferentiated embryonal sarcoma of the liver in an adult patient. Clin Mol Hepatol. 2016 Jun;22(2):292–5.CrossRefPubMedCentralPubMed Lee KH, Maratovich MN, Lee KB. Undifferentiated embryonal sarcoma of the liver in an adult patient. Clin Mol Hepatol. 2016 Jun;22(2):292–5.CrossRefPubMedCentralPubMed
Metadata
Title
Hanging Undifferentiated Embryonal Sarcoma of the Liver in Adult: an Unusual Presentation of an Aggressive Tumor
Authors
Narendra Pandit
Kunal Bikram Deo
Lokesh Shekher Jaiswal
Anju Pradhan
Shailesh Adhikary
Publication date
01-09-2019
Publisher
Springer US
Published in
Journal of Gastrointestinal Cancer / Issue 3/2019
Print ISSN: 1941-6628
Electronic ISSN: 1941-6636
DOI
https://doi.org/10.1007/s12029-018-0119-y

Other articles of this Issue 3/2019

Journal of Gastrointestinal Cancer 3/2019 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.