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Journal of Case Reports
Living Donor Liver Transplantation To Primary Sarcoma of the Liver

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Erdal Birol Bostanci1, Volkan Öter1, Murat Ulas1, Nesrin Turhan2, Sarper Ökten3
From the Departments of Gastroenterological Surgery1, Pathology2, Radiology3; Turkiye Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
Corresponding Author:
Dr. Volkan Öter
Email: otervolkan@gmail.com
Received: 20-JUL-2014 Accepted: 16-SEP-2014 Published Online: 20-OCT-2014
DOI: http://dx.doi.org/10.17659/01.2014.0101
Abstract
Primary sarcomas are rare tumors of the liver. Assessment of the diagnosis is difficult, particularly on percutaneous liver biopsy. Although liver transplantation (LT) can be indicated in selected cases of hepatic epithelioid hemangioendothelioma (HEHE) because of an excellent long term outcome, it is not advised for hepatic angiosarcoma (HAS) because of a high risk of early local or general recurrence rate after LT. We report the case of a young woman who underwent LT for a vascular hepatic tumor, of which some characteristics and the clinical presentation were suggestive of hepatic epithelioid hemangioendothelioma. However, the histological analysis of the explanted liver revealed hepatic angiosarcoma. We report an atypical clinical observation, which is especially interesting in that it illustrates the difficulty in distinguishing
the two forms of primary sarcoma of the liver.
Keywords : Liver Neoplasms, Bile Duct Neoplasms, Liver Transplantation, Hemangiosarcoma, Humans.
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