title: Primary hepatic embryonal sarcoma masquerading as metastatic ovarian cancer.
abstract: BACKGROUND
  Hepatic embryonal sarcoma (HES) is a rare but aggressive primary tumor of the liver occurring most frequently in childhood.
  
  
  METHODS
  We report a case of a 52 year old woman having previously undergone treatment for ovarian serous papillary carcinoma who subsequently presented with a large solitary mass in the liver. Initially this was presumed to be metastasis from the ovarian primary however, on further examination it was shown to be a primary hepatic embryonal sarcoma.
  
  
  CONCLUSIONS
  Primary liver tumors should be considered in differential diagnoses in patients with ovarian cancer who subsequently present with liver tumors. This is particularly important when there is no direct evidence of recurrence of ovarian cancer.
authors: Department of Hepatobiliary and Transplant Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, UK. peterkullar@hotmail.com
authors: Peter
authors: P
authors: Kullar
authors: Christopher
authors: C
authors: Stonard
authors: Neville
authors: N
authors: Jamieson
authors: Emmanuel
authors: E
authors: Huguet
authors: Raaj
authors: R
authors: Praseedom
authors: Asif
authors: A
authors: Jah
mesh_terms: D018394:CA-125 Antigen / Q000097:blood; D002291:Carcinoma, Papillary / Q000473:pathology*; D018284:Cystadenocarcinoma, Serous / Q000473:pathology*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000556:secondary / Q000628:therapy; D008875:Middle Aged; D009373:Neoplasms, Germ Cell and Embryonal / Q000473:pathology* / Q000628:therapy; D016609:Neoplasms, Second Primary / Q000473:pathology*; D010051:Ovarian Neoplasms / Q000473:pathology*; D012509:Sarcoma / Q000473:pathology* / Q000628:therapy
chemical_list: D018394:CA-125 Antigen