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Case Reports in Hepatology
Volume 2012, Article ID 519741, 3 pages
http://dx.doi.org/10.1155/2012/519741
Case Report

Rare Case of Adult Undifferentiated (Embryonal) Sarcoma of the Liver Treated with Liver Transplantation: Excellent Long-Term Survival

1Department of Medicine, University of Florida, Gainesville, FL, USA
2Department of Surgery, University of California, San Diego, CA 92103, USA
3Department of Pathology, University of Florida, Gainesville, FL 32610, USA
4Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL 32610, USA

Received 3 June 2012; Accepted 22 August 2012

Academic Editors: J. Kaneko, G. H. Koek, F. Pérez Roldán, and H. Uchiyama

Copyright © 2012 Renumathy Dhanasekaran et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present the case of a 54-year-old gentleman who presented with abdominal distension and a CT scan of his abdomen revealed a large (25 cm) left hepatic lobe tumor. He received chemotherapy for over 1.5 years. The CT scans at the completion of this therapy revealed that the tumor had actually slightly grown in size. He underwent orthotopic liver transplantation without any major complications. The explant histopathology revealed an undifferentiated embryonal cell sarcoma (UECS) composed of relatively bland spindled cells arranged in short fascicles. It is now 10 years and 3 months since his last transplant and the patient remains well with no tumor recurrence.