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Year : 2015  |  Volume : 11  |  Issue : 3  |  Page : 665

Simultaneous occurrence of sarcomatoid hepatocellular carcinoma and hepatocellular carcinoma

1 Department of Radiology, Provincial Hospital, Affiliated to Shandong University, Shandong Province, China
2 Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong Province, China

Correspondence Address:
Qingwei Liu
Department of Radiology, Provincial Hospital, Affiliated to Shandong University, Jingwu Road 324#, Jinan City, Shandong Province, 250021
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Source of Support: Shandong Province Science and Technology Development Program (No. 2012GSF11820, No. 2012YD18053, No. 2012YD18086),, Conflict of Interest: None

DOI: 10.4103/0973-1482.140806

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Sarcomatoid hepatocellular carcinoma is a rare disease with a poor prognosis. A 62-year-old man presented with 1-month history of middle-grade fever and fatigue in the background of loss of weight and a history of hepatitis B for 10 years. Dynamic contrast enhanced computed tomography showed two distinct irregular hypodense masses on precontrast scan located in hepatic segment VI and VII with size 6.7 × 4.7 × 4.5 cm and 1.9 × 1.3 × 1.6 cm. The patient underwent the right hepatectomy. Microscopic examination revealed that the large tumor was sarcomatoid hepatocellular carcinoma and the small tumor was early hepatocellular carcinoma.

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