Hepatoblastoma

Case contributed by Dr Ammar Haouimi

Presentation

Abdominal distension. AFP more than 1000 IU/mL.

Patient Data

Age: 1 month
Gender: Male
Ultrasound

There is a relatively well-defined hypervascularized heterogeneous mass in the right lobe of the liver.

CT

This mass is well-circumscribed located in the segments VII/VI, hypodense on noncontrast images with no calcification seen. On postcontrast images, there is a heterogeneous enhancement mainly peripherally with central necrosis. No fill-in seen on delayed images.

 

Case Discussion

In this age group, a hepatic mass with raised AFP is most consistent with a hepatoblastoma.

The main differential diagnosis should include:

 

Additional contributor: Z.E Boudiaf, MD CHU Constantine Algeria

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Case information

rID: 69022
Published: 25th Jun 2019
Last edited: 14th Aug 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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