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Undifferentiated embryonal sarcoma of the liver (UESL) is a rare but aggressive primary tumor of the liver occurring most frequently in childhood. Its frequency in the adult population is extremely low. A 41-year-old Korean woman, who had previously undergone treatment for fallopian tube serous papillary adenocarcinoma, presented with a growing solitary mass in the right liver lobe after treatment. Although CA-125 level was normal, the mass was initially presumed to be metastasis from the primary fallopian tube carcinoma. On further examination, it was shown to be a UESL. Primary liver tumors should be considered in differential diagnoses in patients with fallopian tube cancer who subsequently raised liver tumors. This is particularly important when there is no direct evidence of recurrence of fallopian tube cancer.

Case report of undifferentiated embryonal sarcoma of a liver misdiagnosed with fallopian tube carinoma metastasis