Sarcomatous Hepatocellular Carcinoma with Remittent Fever

Yuji Inagaki; Kazushi Sugimoto; Katsuya Shiraki; Naohiko Yoshizawa; Masahiko Tameda; Suguru Ogura; Misao Yoneda; Yoshiyuki Takei; Hiroyuki Fuke; Akira Hashimoto; Norihiko Yamamoto; Atsuya Shimizu

doi:10.2169/internalmedicine.51.7421

CASE REPORTS

Sarcomatous Hepatocellular Carcinoma with Remittent Fever

Yuji Inagaki, Kazushi Sugimoto, Katsuya Shiraki, Naohiko Yoshizawa, Masahiko Tameda, Suguru Ogura, Misao Yoneda, Yoshiyuki Takei, Hiroyuki Fuke, Akira Hashimoto, Norihiko Yamamoto, Atsuya Shimizu

Author information

Yuji Inagaki
Department of Gastoenterology, Mie University School of Medicine, Japan
Department of Internal Medicine, Saiseikai Matsuzaka General Hospital, Japan
Kazushi Sugimoto
Department of Gastoenterology, Mie University School of Medicine, Japan
Katsuya Shiraki
Department of Gastoenterology, Mie University School of Medicine, Japan
Naohiko Yoshizawa
Department of Internal Medicine, Saiseikai Matsuzaka General Hospital, Japan
Masahiko Tameda
Department of Gastoenterology, Mie University School of Medicine, Japan
Suguru Ogura
Department of Gastoenterology, Mie University School of Medicine, Japan
Misao Yoneda
Department of Gastoenterology, Mie University School of Medicine, Japan
Yoshiyuki Takei
Department of Gastoenterology, Mie University School of Medicine, Japan
Hiroyuki Fuke
Department of Internal Medicine, Saiseikai Matsuzaka General Hospital, Japan
Akira Hashimoto
Department of Internal Medicine, Saiseikai Matsuzaka General Hospital, Japan
Norihiko Yamamoto
Department of Gastoenterology, Mie University School of Medicine, Japan
Atsuya Shimizu
Department of Internal Medicine, Saiseikai Matsuzaka General Hospital, Japan

Keywords: sarcomatous hepatocellular carcinoma, remittent fever, paraneoplastic syndrome

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 21 Pages 3025-3029

DOI https://doi.org/10.2169/internalmedicine.51.7421

Details

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.

Corresponding author

Register with J-STAGE for free!