A hypervascular liver mass

Abstract

A 49-year-old woman—on remission 7 years after the surgical resection of a lower left limb melanoma—presented with persistent right-upper quadrant pain associated with nausea and vomiting. Physical examination was unremarkable. Laboratory tests were within normal range, except for an elevated gamma-glutamyl transferase of 73 U/L (normal <38). An abdominal ultrasonography revealed a right liver mass. Magnetic resonance imaging (MRI) of the liver showed a 10 × 9 × 7.5 cm heterogeneous mass located within segment VII, with central necrosis (Figure 1).