Primary hepatic leiomyosarcoma masquerading as liver abscess: A case report  

作　　者：Fang-Nan Wu Min Zhang Kun Zhang Xin-Liang Lv Jing-Qiang Guo Chao-Yong Tu Qing-Yun Zhou 

机构地区：[1]Department of Hepatobiliary and Pancreatic Surgery,Lishui Municipal Central Hospital,Lishui 323000,Zhejiang Province,China [2]Department of Pathology,Lishui Municipal Central Hospital,Lishui 323000,Zhejiang Province,China [3]Department of Hepatobiliary and Pancreatic Surgery,The Fifth Affiliated Hospital of Wenzhou Medical University,Lishui 323000,Zhejiang Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第11期3598-3605,共8页世界胃肠外科杂志（英文）

基　　金：Supported by the Lishui City Key Research and Development Project,No.2022ZDYF08.

摘　　要：BACKGROUND Primary hepatic leiomyosarcoma(PHL)is a rare malignant tumor and has non-specific clinical manifestations and imaging characteristics,making preoperative diagnosis challenging.Here,we report a case of PHL presenting primarily with fever,with computed tomography imaging showing a thick-walled hepatic lesion with low-density areas,resembling liver abscess.CASE SUMMARY The patient was a 34-year-old woman who presented with right upper abdominal pain and fever over 4 days before admission.Based on the patient’s medical history,laboratory examinations,and imaging examinations,liver abscess was suspected.Mesenchymal tumor was diagnosed by percutaneous liverbiopsy and partial hepatectomy was performed.Postoperative pathology revealed PHL.The patient is currently undergoing intravenous chemotherapy with the AD regimen and shows no signs of recurrence.CONCLUSION When there is a thick wall and rich blood supply in the hepatic lesion with a large proportion of uneven low-density areas,PHL should be considered.

关 键 词：Primary hepatic leiomyosarcoma Liver abscess Magnetic resonance imaging Computed tomography scan IMMUNOHISTOCHEMISTRY Case report 

分 类 号：R735.7[医药卫生—肿瘤]