Abstract

BackgroundUndifferentiated embryonal sarcoma of the liver (UESL) is a rare liver tumor accounting for 6–13% of primary liver tumors. Accurate preoperative diagnosis is difficult, with a rather high misdiagnosis rate. Herein, we reported a very large UESL treated with anatomical resection. Our case is amongst the largest pediatric UESLs in the literature.Case presentationHerein, we report a 13-year-old girl presenting with right upper quadrant abdominal pain, postprandial vomiting, and abdominal distention, in which radiographic imaging demonstrated a huge UESL (28 × 20 × 12 cm). The patient was treated with partial hepatectomy and the 5 kg tumor was removed. The patient was discharged in good condition, with no significant complaints in her follow-up.ConclusionsAlthough different treatment strategies have been reported for UESL cases, anatomical resection is still the main treatment approach, especially for large tumors.

Highlights

  • Undifferentiated embryonal sarcoma of the liver (UESL) is a rare liver tumor accounting for 6–13% of primary liver tumors

  • Conclusions: different treatment strategies have been reported for UESL cases, anatomical resection is still the main treatment approach, especially for large tumors

  • Undifferentiated embryonal sarcoma of the liver (UESL) is a rare liver tumor accounting for 6–13% of primary liver tumors [1]

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Summary

Conclusions

Different treatment strategies have been reported for UESL cases, anatomical resection is still the main treatment approach, especially for large tumors.

Background
Discussion and conclusions
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