Vol. 5, Issue 1, Part B (2021)

Author(s): Dr. Shailendra Kumar Singh, Dr. Ankit Bhardwaj and Dr. Ruby Jaykumar Yadav

Abstract: Cystic hepatic lesions are one of the most commonly encountered lesions in daily practice. The diagnosis ranges from benign lesions of no clinical significance to malignant and potentially lethal conditions. The prevalence of hepatic cyst has been reported to be as high as 15-18% in the United States. Imaging with conventional ultrasound, computed tomography, magnetic resonance imaging, or contrast-enhanced ultrasound be used to characterize further and diagnose these lesions. Cystic liver metastasis the most important diagnosis to exclude when multiple cystic lesions are identified in the liver. The common primary sources for cystic hepatic metastasis are colon, kidney, prostate, ovary/testis, squamous cell lung cancer, GIST, sarcomas and neuroendocrine tumors and about50% of all cystic hepatic metastases arise from primary colon cancer. Liver abscesses an important differential diagnosis for cystic hepatic metastases. The cystic nature of these hepatic metastasis may be due to development of central necrosis due to more rapid growth of the tumor compared to its arterial supply. The radiological appearance of the metastases varies depending on the primary. Clinical history of primary and multiplicity of the lesions are classic features of hepatic metastases. Ultrasound and CT may provide limited information for differentiation, we here report a case cystic hepatic metastasis from an early endometrial cancer that recurred in liver after 8 years following surgery and brachytherapy.