Undifferentiated embryonal sarcoma of liver in a 9-year-old: case report

Authors

  • Zubin A. Mahajan Bharati Vidyapeeth University and Medical College, Pune, Maharashtra
  • Sameera R. Mehta Department of Pathology, Smt. Kashibai Navale Medical College, Pune, Maharashtra
  • Raman Singh Bharati Vidyapeeth University and Medical College, Pune, Maharashtra

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20204403

Keywords:

Embryonal sarcoma, Undifferentiated embryonal sarcoma of the liver, Histopathology

Abstract

The embryonal sarcoma of the liver is an extremely malignant, aggressive and infrequent condition of the liver, predominantly affecting children in the age groups of four to ten. The disease manifests with fever, abdominal pain or mass, nausea and laboratory findings suggestive of liver cell injury. The diagnosis can be made using tumor markers, imaging, immunohistochemistry and histopathology. The multimodal management protocol focuses the use of surgical resection, chemotherapy and radiation to significantly improved survival rates and quality of life in these patients.

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Author Biographies

Zubin A. Mahajan, Bharati Vidyapeeth University and Medical College, Pune, Maharashtra

M.B.B.S., Bharati Vidyapeeth Deemed to be University Medical College, Pune, Maharashtra, India.

 

Sameera R. Mehta, Department of Pathology, Smt. Kashibai Navale Medical College, Pune, Maharashtra

Junior Resident, Department of Pathology, Smt. Kashibai Navale Medical College, Pune, Maharashtra, India.

Raman Singh, Bharati Vidyapeeth University and Medical College, Pune, Maharashtra

M.B.B.S., Bharati Vidyapeeth Deemed to be University Medical College, Pune, Maharashtra, India.

References

Stocker JT, Ishak KG. Undifferentiated (embryonal) sarcoma of the liver. Report of 31 cases. Canc. 1978;42(1):336-48.

Weinberg AG, Finegold MJ. Primary hepatic tumors of childhood. Huma Pathol. 1983;14(6):512-37.

Bisogno G, Pilz T, Perilongo G, Ferrari A, Harms D, Ninfo V, et al. Undifferentiated sarcoma of the liver in childhood: a curable disease. Canc. 2002;94(1):252-7.

Almogy G, Lieberman S, Gips M, Pappo O, Edden Y, Jurim O, et al. Clinical outcomes of surgical resections for primary liver sarcoma in adults: results from a single centre. Europea J Surg Oncol. 2004;30(4):421-7.

Pachera S, Nishio H, Takahashi Y, Yokoyama Y, Oda K, Ebata T, et al. Undifferentiated embryonal sarcoma of the liver: case report and literature survey. J Hepat-Bilia-Pancrea Surg. 2008;15(5): 536-44.

Lenze F, Birkfellner T, Lenz P, Hussein K, Länger F, Kreipe H, et al. Undifferentiated embryonal sarcoma of the liver in adults. Cancer. 2008;112(10):2274-82.

Ismail H, Dembowska, Bagińska B, Broniszczak D, Kaliciński P, Maruszewski P, Treatment of undifferentiated embryonal sarcoma of the liver in children-single center experience. J Pediat Surg. 2013;48(11):2202-6.

Lack EE, Schloo BL, Azumi N, Travis WD, Grier HE, Kozakewich HP. Undifferentiated (embryonal) sarcoma of the liver. Clinical and pathologic study of 16 cases with emphasis on immunohistochemical features. Americ J Surg Pathol. 1991;15(1):1-16.

Joshi SW, Merchant NH, Jambhekar NA. Primary multilocular cystic undifferentiated (embryonal) sarcoma of the liver in childhood resembling hydatid cyst of the liver. Briti J Radiol. 1997;70(831):314-6.

Chung EM, Lattin Jr GE, Cube R, Lewis RB, Marichal-Hernández C, Shawhan R, Conran RM. From the archives of the AFIP: pediatric liver masses: radiologic-pathologic correlation part 2. Malignant tumors. Radiograph. 2011;31(2):483-507.

Buetow PC, Buck JL, Pantongrag-Brown L, Marshall WH, Ros PR, Levine MS, et al. Undifferentiated (embryonal) sarcoma of the liver: pathologic basis of imaging findings in 28 cases. Radiolo. 1997;203(3):779-83.

Putra J, Ornvold K. Undifferentiated embryonal sarcoma of the liver: a concise review. Archiv Pathol Laborat Medic. 2015;139(2):269-73.

Sowery RD, Jensen C, Morrison KB, Horsman DE, Sorensen PH, Webber EM. Comparative genomic hybridization detects multiple chromosomal amplifications and deletions in undifferentiated embryonal sarcoma of the liver. Canc Geneti Cytogenet. 2001;126(2):128-33.

Weitz J, Klimstra DS, Cymes K, Jarnagin WR, D'Angelica M, La Quaglia MP, et al. Management of primary liver sarcomas. Cancer: Interdisciplinary International J Americ Canc Soc. 2007;109(7): 1391-6.

Kim DY, Kim KH, Jung SE, Lee SC, Park KW, Kim WK. Undifferentiated (embryonal) sarcoma of the liver: combination treatment by surgery and chemotherapy. J Pediatr Surg. 2002;37(10):1419-23.

Mathias MD, Ambati SR, Chou AJ, Slotkin EK, Wexler LH, Meyers PA, et al. A single‐center experience with undifferentiated embryonal sarcoma of the liver. Pediatr Bloo & Canc. 2016;63(12): 2246-8.

Nicol K, Savell Jr V, Moore J, Teot L, Spunt SL, Qualman S. Children's Oncology Group, Soft Tissue Sarcoma Committee. Distinguishing undifferentiated embryonal sarcoma of the liver from biliary tract rhabdomyosarcoma: a Children's Oncology Group study. Pediat Developmen Pathol. 2007;10(2):89-97.

Horowitz ME, Etcubanas E, Webber BL, Kun LE, Rao BN, Vogel RJ, et al. Hepatic undifferentiated (embryonal) sarcoma and rhabdomyosarcoma in children. Results of therapy. Cancer. 1987;59(3): 396-402.

Speleman F, De Telder V, De Potter KR, Dal Cin P, Van Daele S, Benoit Y, et al. Cytogenetic analysis of a mesenchymal hamartoma of the liver. Canc Geneti Cytogenet. 1989;40(1):29-32.

Mascarello JT, Krous HF. Second report of a translocation involving 19q13. 4 in a mesenchymal hamartoma of the liver. Canc Genet Cytogeneti. 1992;58(2):141-2.

Bove KE, Blough RI, Soukup S. Third report of t (19q) (13.4) in mesenchymal hamartoma of liver with comments on link to embryonal sarcoma. Pediatr Developmen Pathol. 1998;1(5):438-42.

Rajaram V, Knezevich S, Bove KE, Perry A, Pfeifer JD. DNA sequence of the translocation breakpoints in undifferentiated embryonal sarcoma arising in mesenchymal hamartoma of the liver harboring the t (11; 19)(q11; q13. 4) translocation. Gene, Chromo som Canc. 2007;46(5):508-13.

Rakheja D, Margraf LR, Tomlinson GE, Schneider NR. Hepatic mesenchymal hamartoma with translocation involving chromosome band 19q13. 4: a recurrent abnormality. Canc Genet Cytogenet. 2004;153(1):60-3.

Lepreux S, Rebouissou S, Le Bail B, Saric J, Balabaud C, Bloch B, et al. Mutation of TP53 gene is involved in carcinogenesis of hepatic undifferentiated (embryonal) sarcoma of the adult, in contrast with Wnt or telomerase pathways: an immunohistochemical study of three cases with genomic relation in two cases. J Hepatol. 2005; 42(3):424-9.

Wei ZG, Tang LF, Chen ZM, Tang HF, Li MJ. Childhood undifferentiated embryonal liver sarcoma: clinical features and immunohisto chemistry analysis. J Pediatr Surg. 2008;43(10): 1912-9.

Sakellaridis T, Panagiotou I, Georgantas T, Micros G, Rontogianni D, Antiochos C. Undifferentiated embryonal sarcoma of the liver mimicking acute appendicitis. Case report and review of the literature. Worl J Surg Oncol. 2006;4(1):9.

Lashkari HP, Khan SU, Ali K, Sashikumar P, Mukherjee S. Diagnosis of undifferentiated embryonal sarcoma of the liver-importance of combined studies of ultrasound and CT scan. J Pediat Hematol/Oncol. 2009;31(10):797-8.

Massani M, Caratozzolo E, Baldessin M, Bonariol L, Bassi N. Hepatic cystic lesion in adult: a challenging diagnosis of undifferentiated primary embryonal sarcoma. J Surg. 2010;31(5):225-8.

Plant AS, Busuttil RW, Rana A, Nelson SD, Auerbach M, Federman NC. A single-institution retrospective cases series of childhood undifferentiated embryonal liver sarcoma (UELS): success of combined therapy and the use of orthotopic liver transplant. J Pediat Hematol/Oncol. 2013;35(6):451-5.

Baron PW, Majlessipour F, Bedros AA, Zuppan CW, Ben-Youssef R, Yanni G, et al. Undifferentiated embryonal sarcoma of the liver successfully treated with chemotherapy and liver resection. J Gastrointest Surg. 2007;11(1):73-5.

Kiani B, Ferrell LD, Qualman S, Frankel WL. Immunohistochemical analysis of embryonal sarcoma of the liver. Appl Immunohistochemis Molecul Morphol. 2006;14(2):193-7.

Levy M, Trivedi A, Zhang J, Miles L, Mattis AN, Kim GE, et al. Expression of glypican-3 in undifferentiated embryonal sarcoma and mesenchymal hamartoma of the liver. Hum Pathol. 2012;43(5):695-701.

May LT, Wang M, Albano E, Garrington T, Dishop M, Macy ME. Undifferentiated sarcoma of the liver: a single institution experience using a uniform treatment approach. J Pediat Hematol/Oncol. 2012;34(3):e114.

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Published

2020-10-19

How to Cite

Mahajan, Z. A., Mehta, S. R., & Singh, R. (2020). Undifferentiated embryonal sarcoma of liver in a 9-year-old: case report. International Journal of Scientific Reports, 6(11), 467–471. https://doi.org/10.18203/issn.2454-2156.IntJSciRep20204403

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Section

Case Reports