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Background  Myxofibrosarcoma (MFS) is most often found on the limbs of aged male people, but extremely uncommon in the liver.    Case presentation  A 52-year-old female patient with a liver mass was diagnosed as a primary MFS. It had no obvious abdominal symptoms, and the tumor was resected with an extended margin. Three years after the surgery, the patient was readmitted for peritoneal metastasis and passed away 4 months later. The tumor has a benign presentation, but malignant outcome.    Conclusions  Comprehensive radiological inspection, intensive preoperative evaluation, careful design of operating procedures, wide margin resection, consecutive treatment, and strict periodical follow-ups should be taken to ensure a better prognosis of this kind of neoplastic disease.

Primary low grade myxofibrosarcoma of the liver with benign presentation but malignant outcome: a case report