Hepatoblastoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Hepatomegaly with elevated alpha fetoprotein (AFP).

Patient Data

Age: 4 years
Gender: Male
ct

Large well-defined lobulated hepatic mass centered on segment 4, hypodense on non-enhanced CT with intralesional calcifications and heterogeneous enhancement on postcontrast images with areas of necrosis. No evidence of vascular invasion.

Both lungs were clear (not shown). No distant metastasis seen.

Case Discussion

The clinical presentation and the CT features are most consistent with hepatoblastoma which was confirmed by ultrasound-guided biopsy.

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