Aspiration cytology of liver abscess uncovering metastatic rectal mucosal melanoma—A case report

Aspirates of liver abscess are frequently encountered in routine practice and are often of a low index of suspicion. However, necrotic liver metastasis clinically and radiologically mimics liver abscesses, and malignant cells can be obscured in an inflammation‐rich background on cytology. It is impo...

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Veröffentlicht in:Cytopathology (Oxford) 2024-01, Vol.35 (1), p.163-166
Hauptverfasser: Ng, Joanna K. M., Leung, Howard H. W., Li, Joshua J. X.
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description Aspirates of liver abscess are frequently encountered in routine practice and are often of a low index of suspicion. However, necrotic liver metastasis clinically and radiologically mimics liver abscesses, and malignant cells can be obscured in an inflammation‐rich background on cytology. It is important to recognise malignant neoplasms in this scenario, in particular uncommon conditions such as metastatic mucosal melanoma. Atypical cells among a background with rich inflammatory cells and necrotic material. Although the clinical impression was that of a liver abscess, liver biopsy and review of medical history revealed a diagnosis of metastatic rectal mucosal melanoma, illustrating the importance of considering malignancy despite low clinical suspicion. Necrotic liver metastasis clinically and radiologically mimics liver abscesses. It is important to be aware of possible malignant cells obscured in an inflammation‐rich background on cytology.
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subjects Abscesses
aspiration cytology
Cytodiagnosis
Cytology
Hepatocytes
Humans
Liver
liver abscess
Liver Abscess - diagnosis
Liver Abscess - pathology
Liver Neoplasms - diagnosis
Liver Neoplasms - pathology
Melanoma
Melanoma - pathology
Metastases
metastasis
Mucosa
Neoplasms, Second Primary - pathology
title Aspiration cytology of liver abscess uncovering metastatic rectal mucosal melanoma—A case report
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