Case report of hepatic pseudocyst: A rare manifestation of liver metastasis from an anal squamous cell carcinoma.
Anal cancer
Liver metastasis
Pseudocyst
Squamous cell carcinoma
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2019
2019
Historique:
received:
19
07
2019
accepted:
09
08
2019
pubmed:
30
8
2019
medline:
30
8
2019
entrez:
30
8
2019
Statut:
ppublish
Résumé
Liver metastasis of an anal squamous cell carcinoma (SCC) with a pseudocyst is uncommon. There are many diseases which form hepatic cystic lesions and sometimes it is difficult to arrive at an accurate diagnosis. A 69-year-old woman visited our hospital with complaints of bloody stool and difficult defecation. A palpable mass in the anal canal was found on digital examination. The laboratory tests revealed anemia and raised levels of SCC antigen. On endoscopy a type 2 tumor was identified in the anal canal and biopsy revealed SCC. The patient was diagnosed with advanced anal SCC (cT2N1aM0, cStage IIIA) as a result of the examination and underwent chemoradiotherapy (CRT); unfortunately the tumor persisted after CRT. A salvage abdominoperineal resection with D2 and left lateral lymph node dissection was conducted. Histopathologically, the tumor was diagnosed as poorly differentiated SCC. She was readmitted for fever 3 weeks after surgery, and the abdominal CT showed multiple low density areas with enhancement at the edge of the liver, suggesting abscess or metastasis. The metastatic SCC was revealed by cytology of liver drainage and liver biopsy. Anal cancers are sometimes encountered however; a pseudo cystic presentation of a liver metastasis is very rare which makes it difficult to distinguish from other diseases. We present a case of SCC in the anal canal with liver metastasis presenting as a hepatic pseudocyst.
Identifiants
pubmed: 31466012
pii: S2210-2612(19)30468-7
doi: 10.1016/j.ijscr.2019.08.005
pmc: PMC6718921
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
77-84Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
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