Undifferentiated embryonal sarcoma of the liver in a child complicated by haemorrhage

Undifferentiated embryonal sarcoma (UES) of the liver is a rare malignant neoplasm that mostly affects children younger than 15 years of age. We report a patient with UES in the right lobe that was complicated by haemorrhage after needle biopsy. The tumour was managed by embolization of the right he...

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Bibliographic Details
Published in:Pediatric radiology 2008-11, Vol.38 (11), p.1259-1261
Main Authors: Küpeli, Serhan, Yalçın, Bilgehan, Çil, Barbaros E., Akçören, Zuhal, Büyükpamukçu, Münevver
Format: Article
Language:English
Subjects:
Adolescent
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biopsy, Needle
Case Report
Combined Modality Therapy
Diagnosis, Differential
Embolization, Therapeutic - methods
Hemorrhage - etiology
Humans
Imaging
Liver Neoplasms - complications
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - pathology
Liver Neoplasms - therapy
Male
Medicine
Medicine & Public Health
Neoplasms, Germ Cell and Embryonal - complications
Neoplasms, Germ Cell and Embryonal - diagnostic imaging
Neoplasms, Germ Cell and Embryonal - pathology
Neoplasms, Germ Cell and Embryonal - therapy
Neuroradiology
Nuclear Medicine
Oncology
Pediatrics
Radiology
Tomography, X-Ray Computed
Ultrasound
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Description
Summary:Undifferentiated embryonal sarcoma (UES) of the liver is a rare malignant neoplasm that mostly affects children younger than 15 years of age. We report a patient with UES in the right lobe that was complicated by haemorrhage after needle biopsy. The tumour was managed by embolization of the right hepatic artery and treated successfully with chemotherapy and surgical resection. Prophylactic embolization of the feeding artery should be undertaken before a biopsy procedure if there is the possibility of tumour rupture, in the presence of signs of intratumoral or peritumoral bleeding, or in the presence of a vascular liver mass.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-008-0972-0