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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2024; 16(11): 3598-3605
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3598
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3598
Primary hepatic leiomyosarcoma masquerading as liver abscess: A case report
Fang-Nan Wu, Kun Zhang, Xin-Liang Lv, Jing-Qiang Guo, Qing-Yun Zhou, Department of Hepatobiliary and Pancreatic Surgery, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China
Min Zhang, Department of Pathology, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China
Chao-Yong Tu, Department of Hepatobiliary and Pancreatic Surgery, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, Zhejiang Province, China
Co-corresponding authors: Chao-Yong Tu and Qing-Yun Zhou.
Author contributions: Tu CY and Zhou QY contributed equally to the manuscript; Tu CY and Zhou QY designed the study, they are the co-corresponding authors of this article; Wu FN completed the first draft of this manuscript and performed the experiments and data collection; Zhang K, Lv XL, and Guo JQ were involved in data collection; Zhang M provided pathological findings; Zhou QY revised the manuscript. All authors have read and approved the final version of the manuscript.
Supported by the Lishui City Key Research and Development Project , No. 2022ZDYF08 .
Informed consent statement: The patient and his family provided their written informed consent and agreed to the publication of this case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qing-Yun Zhou, MMed, Occupational Physician, Department of Hepatobiliary and Pancreatic Surgery, Lishui Municipal Central Hospital, No. 289 Kuocang Road, Lishui 323000, Zhejiang Province, China. zhou08wu@163.com
Received: July 30, 2024
Revised: September 19, 2024
Accepted: October 12, 2024
Published online: November 27, 2024
Processing time: 92 Days and 12.6 Hours
Revised: September 19, 2024
Accepted: October 12, 2024
Published online: November 27, 2024
Processing time: 92 Days and 12.6 Hours
Core Tip
Core Tip: Primary hepatic leiomyosarcoma (PHL) is a rare malignant tumor and has non-specific clinical symptoms and imaging manifestations, and patients have a poor prognosis. Our patient was characterized by fever and a thick-walled cystic lesion, leading to our primary diagnosis of liver abscess. When a computed tomography scan shows the presence of a thick wall and rich blood supply in the hepatic lesion with a large proportion of uneven low-density areas, the possibility of PHL should be considered. Magnetic resonance imaging and biopsy can provide the assessment and diagnosis. If conditions allow, early radical surgery is the most effective treatment. In-depth studies are needed to find effective treatments for unresectable PHL.