title: Sarcomatous hepatocellular carcinoma with remittent fever.
abstract: We herein report a rare case of hepatocellular carcinoma (HCC) with sarcomatous changes. A 66-year-old man was admitted to our hospital with a high fever and upper abdominal pain. Initially, he was diagnosed as having a liver abscess; however, antibiotic treatment and drainage were ineffective. Further imaging studies revealed the typical appearance of HCC: the tumor had invaded the hepatic and portal veins. Surgical resection of the tumor was performed. A pathological examination demonstrated the presence of a sarcomatous hepatocellular carcinoma. Sarcomatous hepatocellular carcinoma with remittent fever is a rare disease entity.
authors.affiliation: Department of Gastoenterology, Mie University School of Medicine, and Department of Internal Medicine, Saiseikai Matsuzaka General Hospital, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Inagaki
authors.forename: Kazushi
authors.initials: K
authors.lastname: Sugimoto
authors.forename: Katsuya
authors.initials: K
authors.lastname: Shiraki
authors.forename: Naohiko
authors.initials: N
authors.lastname: Yoshizawa
authors.forename: Masahiko
authors.initials: M
authors.lastname: Tameda
authors.forename: Suguru
authors.initials: S
authors.lastname: Ogura
authors.forename: Misao
authors.initials: M
authors.lastname: Yoneda
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Takei
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Fuke
authors.forename: Akira
authors.initials: A
authors.lastname: Hashimoto
authors.forename: Norihiko
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Atsuya
authors.initials: A
authors.lastname: Shimizu
mesh_terms: D000368:Aged; D002097:C-Reactive Protein / Q000378:metabolism; D006528:Carcinoma, Hepatocellular / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D003951:Diagnostic Errors; D005334:Fever / Q000209:etiology*; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis; D008113:Liver Neoplasms / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D008297:Male; D012509:Sarcoma / Q000097:blood / Q000150:complications* / Q000175:diagnosis
chemical_list: D002097:C-Reactive Protein