Hepatoblastoma

Case contributed by Dr Mohammad A. ElBeialy

Presentation

A female baby with abdominal swelling.

Patient Data

Age: 11 months
Gender: Female
MRI
  • a large left hepatic liver lobe fairly defined heterogenous mass lesion is seen, it measures about 12 X 8.5 X 10.5 cm in its main axial and CC dimensions. The lesion shows heterogeneously hypointense T1 and hyperintense T2 with heterogeneous enhancement.  The lesion shows patchy T1 hyperintensity within, likely related to mucoid degeneration as well as small signal void foci in all pulse sequences that could be due to calcifications. The lesion is seen and displacing the stomach to the left and posteriorly displacing the pancreas posteriorly and inferiorly as well as displacing the bowel loops posteriorly.
  • normal spleen, pancreas and both kidneys.
  • no enlarged para-aortic lymph nodes.
  • no ascites.
  • the scanned lung bases shows no definite signs of congestive heart failure, nor definite pulmonary deposits.

Case Discussion

Large left liver lobe hepatoblastoma. The diffential includes a haemangioendothelioma - which is a hypervascular lesion with cardiomegaly and signs of congestive heart failure or cutaneous haemangioma, may be multiple.

Alpha-fetoprotein is positive in hepatoblastoma (as in this case), but  negative in haemangioendiothelioma. 

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Case information

rID: 23814
Case created: 9th Jul 2013
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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