Paradoxical approach towards coexistence of hepatic cyst and liver sarcoma: A case report.

Introduction: Liver sarcoma is exceedingly rare and is a clinical challenge.

Case Report: A 69-year-old female presented with right upper quadrant pain after a fall. Her CT scan showed multiple cysts. She was initially diagnosed as hepatic cysts with hemorrhage and underwent puncture and drainage of liver cysts. But the cysts relapsed quickly. Then she underwent fenestration of the hepatic cysts. The liver cysts reoccurred again accompanied by massive bleeding and obstructive jaundice. She underwent right trihepatectomy and her final pathological report showed liver sarcoma. However, the hepatic sarcoma reoccurred again. Its' diagnosis and treatment process are extremely complex. In the end, she had a bad ending.

Conclusion: We believe that timely diagnosis and complete excision of liver sarcoma are very important.