Evidence map›Paper›PMID 40755904›Full record

ArticleSurgical case reports2025

Rare Case of Undifferentiated Embryonal Sarcoma of the Liver that Contained an Adenocarcinoma Component.

Akira Watanabe, Yasuaki Enokida, Masaki Suzuki, Takahiro Takada, Tomonori Yoshida, Jun Imaizumi, Makoto Sohda, Misa Iijima, Hitoshi Ojima, Ken Shirabe

Abstract readCase Reports
In one paragraph

Article in Surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Akira WatanabeDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Yasuaki EnokidaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Masaki SuzukiDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Takahiro TakadaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Tomonori YoshidaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Jun ImaizumiDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Makoto SohdaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Misa IijimaDepartment of Pathology, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Hitoshi OjimaDepartment of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ohta, Gunma, Japan.
Ken ShirabeDepartment of General Surgical Science, Division of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUndifferentiated embryonal sarcoma (UES) of the liver (UESL) is a tumor that is rare in adults. UESL is composed of undifferentiated mesenchymal tumor cells, with characteristic normal bile duct cells found at the tumor periphery. We present a rare case of UESL containing an adenocarcinoma component in one part of the tumor. CASE PRESENTATION: A 68-year-old male had a tumor with an 8-cm diameter in the left lateral liver segment. CT showed a cystic tumor with a solid component and a heterogeneous area. In the solid component, the contrast effect was weak in the arterial phase and uniform in the late phase. Imaging suggested that the internal tumor area was necrotic or hemorrhagic. We diagnosed it as hemorrhagic hepatocellular carcinoma or combined hepatocellular-cholangiocellular carcinoma. The patient exhibited normal liver function. Left lateral segmentectomy was performed. Macroscopically, the tumor was cystic, with hemorrhagic/necrotic deposits and a solid portion composed of tumor cells. Histopathologically, the tumor had 2 components. One was a nonepithelial tumor comprising immature spindle-shaped and stellate plaques, with positivity for the mesenchymal markers vimentin and CD68 and negativity for myogenic, neurogenic, and other markers. This component was diagnosed as UES. The other component comprised epithelial and adenocarcinoma tissues with differentiated bile duct cells. The tumor was mainly composed of UES cells, with the adenocarcinoma component located predominantly in the periphery.

conclusionsWe present a unique case of UESL containing UES cells and adenocarcinoma cells at the periphery. A combination of UESL and adenocarcinoma is extremely rare, even among hepatic carcinosarcomas.

Indexed as

adenocarcinomacarcinosarcomaembryonalgerm cellliverneoplasms

Identifiers

PMID40755904
PMCPMC12313425

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