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Adenosquamous carcinoma presenting as liver abscess.
Jessie Tse Hang Yeung1, Wai Chau Fan, Rickie Lik Fai Cheng
1Department of Radiology, Princess Margaret Hospital, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, HongKong. jezzyeung@gmail.com
Singapore Medical Journal
|June 20, 2012
Summary
Adenosquamous carcinoma, a rare cancer, can mimic liver abscesses. This case highlights the importance of considering malignancy in complex liver lesions, even with initial abscess-like symptoms.
Area of Science:
- Oncology
- Gastroenterology
- Diagnostic Imaging
Background:
- Adenosquamous carcinoma (ASC) presents non-specifically, often delaying diagnosis.
- Early recognition of ASC is crucial for effective treatment and improved patient outcomes.
Observation:
- A patient presented with fever and epigastric pain, initially suspected as a liver abscess.
- CT scans suggested a liver abscess, while ultrasound revealed a complex space-occupying lesion.
Findings:
- Biopsy confirmed adenosquamous carcinoma, characterized by malignant glandular and squamous components.
- Retrospective review identified subtle imaging indicators of metastatic disease.
Implications:
- Complex space-occupying lesions in the liver warrant high suspicion for neoplastic processes.
- Multimodality imaging and biopsy are essential for accurate ASC diagnosis.
- Awareness of ASC's varied presentations can improve diagnostic timelines.
