Cargando…
A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor
Hepatic sarcomatoid carcinoma is a rare liver malignancy with atypical clinical symptoms and a high degree of malignancy. To improve the understanding of this disease, we collected the clinical and pathological data of 14 patients with hepatic sarcomatoid carcinoma admitted to the First Affiliated H...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351887/ https://www.ncbi.nlm.nih.gov/pubmed/35945746 http://dx.doi.org/10.1097/MD.0000000000030005 |
_version_ | 1784762529255260160 |
---|---|
author | Ma, Shuoshuo Li, Chunshuang Ma, Yang Wang, Xiaolei Zhang, Dengyong Lu, Zheng |
author_facet | Ma, Shuoshuo Li, Chunshuang Ma, Yang Wang, Xiaolei Zhang, Dengyong Lu, Zheng |
author_sort | Ma, Shuoshuo |
collection | PubMed |
description | Hepatic sarcomatoid carcinoma is a rare liver malignancy with atypical clinical symptoms and a high degree of malignancy. To improve the understanding of this disease, we collected the clinical and pathological data of 14 patients with hepatic sarcomatoid carcinoma admitted to the First Affiliated Hospital and Second Affiliated Hospital of Bengbu Medical College from 2011 to 2021 and reviewed the relevant literature. The clinical and pathological data of 14 patients with hepatic sarcomatoid carcinoma were collected from the electronic medical record system of the 2 hospitals. All clinical data were independently reviewed by 2 clinicians, and all pathological data were independently reviewed by 2 pathologists. At the same time, we reviewed the related literature on hepatic sarcomatoid carcinoma in Pubmed and CNKI. This group of 14 patients, 10 males and 4 females, aged 50–77 years. The main symptoms of the patients were abdominal pain, bloating, anorexia, fatigue or weight loss in the upper abdomen, and 3 patients were asymptomatic. On imaging, hepatic sarcomatoid carcinoma manifests as heterogeneous mass with irregular shape and unclear boundary, and computed tomography (CT)/magnetic resonance imaging (MRI) enhanced scan shows progressive or persistent heterogeneous enhancement, marginal enhancement or annular enhancement, and central necrosis. The pathological features of hepatic sarcomatoid carcinoma are the proliferation of spindle cells and pleomorphic cells, which alternate with acinar cells. Hepatic sarcomatoid carcinoma is more common in middle-aged and elderly patients, especially men, and has no characteristic clinical manifestations. Imaging examination and B-ultrasound-guided liver biopsy + immunohistochemistry can help diagnose. Radical surgery is the preferred method for hepatic sarcomatoid carcinoma, and postoperative adjuvant chemotherapy is expected to prolong patient survival. |
format | Online Article Text |
id | pubmed-9351887 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-93518872022-08-05 A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor Ma, Shuoshuo Li, Chunshuang Ma, Yang Wang, Xiaolei Zhang, Dengyong Lu, Zheng Medicine (Baltimore) Research Article Hepatic sarcomatoid carcinoma is a rare liver malignancy with atypical clinical symptoms and a high degree of malignancy. To improve the understanding of this disease, we collected the clinical and pathological data of 14 patients with hepatic sarcomatoid carcinoma admitted to the First Affiliated Hospital and Second Affiliated Hospital of Bengbu Medical College from 2011 to 2021 and reviewed the relevant literature. The clinical and pathological data of 14 patients with hepatic sarcomatoid carcinoma were collected from the electronic medical record system of the 2 hospitals. All clinical data were independently reviewed by 2 clinicians, and all pathological data were independently reviewed by 2 pathologists. At the same time, we reviewed the related literature on hepatic sarcomatoid carcinoma in Pubmed and CNKI. This group of 14 patients, 10 males and 4 females, aged 50–77 years. The main symptoms of the patients were abdominal pain, bloating, anorexia, fatigue or weight loss in the upper abdomen, and 3 patients were asymptomatic. On imaging, hepatic sarcomatoid carcinoma manifests as heterogeneous mass with irregular shape and unclear boundary, and computed tomography (CT)/magnetic resonance imaging (MRI) enhanced scan shows progressive or persistent heterogeneous enhancement, marginal enhancement or annular enhancement, and central necrosis. The pathological features of hepatic sarcomatoid carcinoma are the proliferation of spindle cells and pleomorphic cells, which alternate with acinar cells. Hepatic sarcomatoid carcinoma is more common in middle-aged and elderly patients, especially men, and has no characteristic clinical manifestations. Imaging examination and B-ultrasound-guided liver biopsy + immunohistochemistry can help diagnose. Radical surgery is the preferred method for hepatic sarcomatoid carcinoma, and postoperative adjuvant chemotherapy is expected to prolong patient survival. Lippincott Williams & Wilkins 2022-08-05 /pmc/articles/PMC9351887/ /pubmed/35945746 http://dx.doi.org/10.1097/MD.0000000000030005 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ma, Shuoshuo Li, Chunshuang Ma, Yang Wang, Xiaolei Zhang, Dengyong Lu, Zheng A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor |
title | A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor |
title_full | A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor |
title_fullStr | A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor |
title_full_unstemmed | A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor |
title_short | A retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: Fourteen cases of a rare tumor |
title_sort | retrospective study on the clinical and pathological features of hepatic sarcomatoid carcinoma: fourteen cases of a rare tumor |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351887/ https://www.ncbi.nlm.nih.gov/pubmed/35945746 http://dx.doi.org/10.1097/MD.0000000000030005 |
work_keys_str_mv | AT mashuoshuo aretrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT lichunshuang aretrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT mayang aretrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT wangxiaolei aretrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT zhangdengyong aretrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT luzheng aretrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT mashuoshuo retrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT lichunshuang retrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT mayang retrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT wangxiaolei retrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT zhangdengyong retrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor AT luzheng retrospectivestudyontheclinicalandpathologicalfeaturesofhepaticsarcomatoidcarcinomafourteencasesofararetumor |