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Case Report

Open Access

A case with sarcomatoid hepatocellular carcinoma and literature review

  • Huajia Dai1
  • Yuhao Bian1
  • Libin Wang1
  • Junfeng Yang1,*,

1The Third Department of Gerneral, Shidong Hospital, 200438 Shanghai, China

DOI: 10.22514/jomh.2023.008 Vol.19,Issue 1,January 2023 pp.60-65

Submitted: 28 September 2022 Accepted: 09 December 2022

Published: 30 January 2023

*Corresponding Author(s): Junfeng Yang E-mail:


Sarcomatoid hepatocellular carcinoma (SHC) is a relatively rare subtype of liver cancer reported in 1.8–2.0% of surgically resected cases. Previous studies have found that SHC was more likely to occur in patients who received repeated anticancer therapies, but the underlying mechanism has not been exactly illustrated. We report a case of a 62-year-old man with SHC. With the initial implication of abscess suspected liver mass by radiological exams (enhanced Computed Tomography and liver Magnetic Resonance Imaging), the patient underwent a laparoscopic pus debridement and biopsy. The diagnosis of SHC was considered by pathologists. After a short recovery, a second radical resection of the liver tumor and hepatic hilar lymph node dissection were conducted. Postoperative pathology revealed a tumor-free incisal margin and negative lymph node. The recovery of the patient was uneventful. When confronting an occasional liver mass with previous Hepatitis B virus infection, SHC should be included for a candidate diagnosis. If diagnosis is confirmed, high biological malignancy and poor survival should be expected. Surgery is still a main option to treat SHC.


Sarcomatoid cancer; Hepatocellular carcinoma; Sarcomatoid hepatocellular carcinoma; Hepatapostema; Hepatophyma liver abscess; Liver mass

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Huajia Dai,Yuhao Bian,Libin Wang,Junfeng Yang. A case with sarcomatoid hepatocellular carcinoma and literature review. Journal of Men's Health. 2023. 19(1);60-65.


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