Hepatoblastoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

Gradually enlarging abdominal swelling and failure to thrive.

Patient Data

Age: 6 months old
Gender: Female
CT

CT scout image reveals a large gasless area at the left hypochondrial and lumbar regions. CT shows a large mass arising from the left hepatic lobe which displaces the stomach and adjacent bowel. The lesion shows mild enhancement with contrast with extensive areas of internal necrosis. No calcification.

Diagnosis: Hepatoblastoma epithelial type (pathology proved)

Case Discussion

Hepatoblastoma is the commonest primary malignant tumor of the liver. It is more common in males and associated with other syndromes e.g. hemihypertrophy, Beckweth Weidemann and familial polyposis. Calcification presents in 50% of the tumor mostly of mixed type. Epithelial type usually lacks calcification. Differential diagnosis includes; intantile hemangioendotheliosis, mesenchymal hamartoma and neuroblastoma metastasis.

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Case information

rID: 25740
Case created: 5th Nov 2013
Last edited: 10th Dec 2015
Inclusion in quiz mode: Included

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