1.Adenosquamous carcinoma presenting as liver abscess.
Jessie Tse Hang YEUNG ; Wai Chau FAN ; Rickie Lik Fai CHENG
Singapore medical journal 2012;53(6):e110-3
Adenosquamous carcinoma (ASC) has a nonspecific presentation. We report a patient with ASC who presented with fever and epigastric pain. Computed tomographic findings and clinical features were suggestive of a liver abscess, while ultrasonography showed a complex space-occupying lesion. Biopsy revealed a lesion with malignant glandular and squamous components, a finding that was compatible with ASC. Complex space-occupying lesions should raise the suspicion of a mass lesion. Subtle imaging clues of a metastatic disease were reviewed retrospectively.
Abdominal Pain
;
diagnosis
;
Biopsy
;
Carcinoma, Adenosquamous
;
diagnosis
;
Diagnosis, Differential
;
Fatal Outcome
;
Female
;
Fever
;
Humans
;
Liver
;
diagnostic imaging
;
Liver Abscess
;
diagnosis
;
Liver Neoplasms
;
diagnosis
;
Middle Aged
;
Neoplasm Metastasis
;
Recurrence
;
Retrospective Studies
;
Tomography, X-Ray Computed
;
Ultrasonography