酷似肝脓肿的肉瘤样肝细胞癌1例

Sarcomatoid hepatocellular carcinoma resembling a liver abscess:A case report

肉瘤样肝细胞癌是发生于肝脏的一种少见的恶性肿瘤,影像学及临床表现缺乏特异性,易造成误诊,本例患者的临床及影像学表现均似肝脓肿,最终病理证实为肉瘤样肝细胞癌.实际诊疗过程中不能过分依赖影像学结果,充分结合实验室检查,进行鉴别诊断,必要时及早进行病理学检查,避免误诊及延误病情.

Sarcomatoid hepatocellular carcinoma is a rare malignant tumor, which lacks characteristic im- aging and clinical manifestations and is easy to be misdiagnosed. Here we report a case of sarcomatoid hepatocellular carcinoma resembling a liver abscess, which was finally confirmed by pa- thology. A differential diagnosis of sarcomatoid hepatocellular carcinoma should be based on combined laboratory tests and imaging results, not rely too much on imaging results. Liver bi- opsy should be performed as early as possible when necessary to avoid misdianosis.