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Category:Striga albumsCase Report {#cesec10}
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An 11-year-old female with a history of a low-grade fibromyxoid sarcoma of the soft palate, status post-radical excision and postoperative radiotherapy, presented with progressive right upper-quadrant abdominal pain. She had no prior surgical history. Physical examination was significant for right upper-quadrant abdominal pain on deep palpation. Laboratory workup was notable for a markedly elevated white blood cell count with a left shift. Computed tomography of the abdomen demonstrated a 6 cm soft tissue density lesion in the right lobe of the liver, which was consistent with an infected liver abscess ([Fig. 1](#fig1){ref-type="fig"}). An intra-venous sonogram-guided liver biopsy showed necrotic tissue with reactive atypical lymphoid cells consistent with a malignant tumor. Fluorodeoxyglucose positron-emission tomography (PET) showed a 3.5 × 3.1 cm fluorodeoxyglucose-avid soft tissue lesion in the right lobe of the liver. Further workup with endoscopic ultrasound (EUS) demonstrated a 7.5 × 5.7 cm hypoechoic space-occupying lesion with thickening of the adjacent hepatic capsule and diffuse lymphadenopathy ([Fig. 2](#fig2){ref-type="fig"}). Lymph node biopsy specimens from the submucosal compartment showed atypical lymphoid cells, suggesting malignancy, and immunohistochemistry confirmed these findings. Fine needle aspiration (FNA) of the liver lesion demonstrated a pleomorphic population of small to intermediate-sized atypical lymphoid cells. Immunohistochemistry confirmed this diagnosis ([Fig. 3](#fig3){ref-type="fig"}).
Due to the patient's young age, family's desire for a second opinion, and patient's clinical status, a decision was made to proceed with peripheral blood stem cell transplantation. She underwent conditioning chemotherapy with cyclophosphamide, thiotepa, and melphalan. On day 6 of therapy, the patient developed nausea, vomiting, and headache. Her headaches persisted after the completion of therapy and following a brain magnetic resonance imaging, which showed resolution of her previous brain lesion.
After completion of the conditioning therapy, the 01e38acffe
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