Alanbagi Alaa A, Aldarawsha Ali N, Alawad Asdah, Hasan Sora A, Kareem Murtadah R, Ahmed Aula, Al Gehadi Muntadher Y H, Bacha Zaryab, Al-Badri Sajjad G
Oncology Department, Warith International Cancer Institute, Karbala, Iraq.
Radiology Department, Warith International Cancer Institute, Karbala, Iraq.
J Surg Case Rep. 2025 Aug 30;2025(8):rjaf680. doi: 10.1093/jscr/rjaf680. eCollection 2025 Aug.
Undifferentiated embryonal sarcoma of the liver (UESL) is a rare, aggressive pediatric malignancy with a high recurrence rate. We present a case of a 16-year-old male with recurrent UESL and rare peritoneal and splenic metastases. Despite initial complete surgical resection, the tumor recurred, necessitating further surgeries and chemotherapy. PET-CT imaging played a crucial role in monitoring disease progression. This case highlights the importance of a multimodal approach, integrating surgery and systemic therapy, in managing recurrent UESL and underscores the need for long-term surveillance to improve patient outcomes.
肝未分化胚胎性肉瘤（UESL）是一种罕见的侵袭性儿科恶性肿瘤，复发率高。我们报告一例16岁男性复发性UESL，伴有罕见的腹膜和脾脏转移。尽管最初进行了完整的手术切除，但肿瘤仍复发，需要进一步手术和化疗。PET-CT成像在监测疾病进展中发挥了关键作用。该病例突出了多模式方法（整合手术和全身治疗）在复发性UESL管理中的重要性，并强调了长期监测以改善患者预后的必要性。
