Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2020; 8(20): 5042-5048
Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.5042
Primary chondrosarcoma of the liver: A case report
Zhuo-Yan Liu, Xue-Mei Jin, Guang-Hai Yan, Guang-Yu Jin
Zhuo-Yan Liu, Guang-Yu Jin, Department of Radiology, Affiliated Hospital of Yanbian University, Yanji 133000, Jilin Province, China
Xue-Mei Jin, Department of Pathology, Affiliated Hospital of Yanbian University, Yanji 33000, Jilin Province, China
Guang-Hai Yan, Department of Anatomy, Basic Medical College, Yanbian University, Yanji 133002, Jilin Province, China
Author contributions: Liu ZY collected the data, performed the literature research and drafted the manuscript; Jin XM and Yan GH collected the data; Jin GY conceived the study design, interpreted all data and revised the manuscript in depth; All authors have read and approved final version of this manuscript for publication.
Supported by National Natural Science Foundation of China, No. 81860304 and No. 81860043; "Thirteenth Five-Year Plan" Science and Technology Project of Education Department of Jilin Province, No. JKH20191141KJ; and Natural Science Research Foundation of Jilin Province for Sciences and Technology, No. 20200201511JC.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors have no conflicts of interest.
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: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Guang-Yu Jin, MD, Professor, Department of Radiology, Affiliated Hospital of Yanbian University, No. 1327 Juzi Street, Yanji 133000, Jilin Province, China. kimguangyu@163.com
Received: May 6, 2020
Peer-review started: May 6, 2020
First decision: May 21, 2020
Revised: June 16, 2020
Accepted: September 2, 2020
Article in press: September 2, 2020
Published online: October 26, 2020
Processing time: 172 Days and 22.4 Hours
Abstract
BACKGROUND

Primary chondrosarcoma of the liver are extremely rare. Moreover, there are few reports focusing on typical clinical symptoms and imaging characteristics. Therefore, the diagnosis of chondrosarcoma of the liver remains a challenge.

CASE SUMMARY

A 59-year-old male was admitted due to a lesion occupying the right liver lobe that was found by physical examination. Magnetic resonance imaging showed a lobular mass with high T2 weighted image and low T1 weighted image with enhanced internal separation and edge in the right liver. He was diagnosed with liver cystadenoma by using magnetic resonance imaging. At 3 mo later, the magnetic resonance scan showed that the mass was enlarged. Laparoscopic liver tumor resection was performed with a pathological diagnosis of liver chondrosarcoma. Then he received a surgical resection for the recurrent lesion. However, intrahepatic and abdominal metastases were found again at 8 mo after the second operation. The patient then received conservative management and is now under follow-up.

CONCLUSION

Primary liver chondrosarcoma generally is presented as lobulated and heterogeneous density/signal, cystic, solid masses without calcification with enhanced edge, internal septa and solid part. The imaging features are closely related to pathology, which may be helpful for clinical diagnosis.

Keywords: Extraskeletal chondrosarcoma; Liver tumor; Differential diagnosis; Case report

Core Tip: Primary chondrosarcoma of the liver is extremely rare. Moreover, there are few studies focusing on typical clinical symptoms and imaging characteristics. Therefore, the diagnosis of chondrosarcoma of the liver remains a challenge. This study analyzed the imaging characteristics of a case of primary liver chondrosarcoma to improve the understanding and diagnosis of this disease, which may help to improve the understanding of the disease.