title: [Hepatocarcinoma with sarcomatoid transformation: case report].
abstract: Hepatocarcinoma with sarcomatoid transformation is uncommon. It presents clinically with inverted exclamation markeucocytosis and fever, resembling a liver abscess. We report a 40 year-old male that presented pain in the right upper quadrant and fever. Abdominal imaging showed an hypodense image in the liver that resembled a liver abscess. The patient was subjected to a percutaneous drainage obtaining 150 ml of an hemorrhagic fluid whose culture was negative. The clinical picture persisted and the patient was subjected to a right hepatectomy. The pathological study of the surgical piece disclosed a hepatocarcinoma with sarcomatoid transformation. The patient was discharged sixteen days after surgery.
authors.affiliation: Departamento de Cirugía y Traumatología, Universidad de La Frontera, Temuco, Chile. hlosada@ufro.cl
authors.forename: Héctor
authors.initials: H
authors.lastname: Losada M
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Roa
authors.forename: Darío
authors.initials: D
authors.lastname: García M
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Araya
authors.forename: Luis
authors.initials: L
authors.lastname: Burgos Sj
authors.forename: Jorge
authors.initials: J
authors.lastname: Silva A
mesh_terms: D000328:Adult; D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000473:pathology* / Q000601:surgery; D002471:Cell Transformation, Neoplastic; D004322:Drainage; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000473:pathology; D008100:Liver Abscess / Q000175:diagnosis; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed