Open AccessHepatoblastoma in a 14-months old child
Author(s) -
Rashes Shrestha,
Niraj Bhattarai,
Binay Thakur,
Mukti Devkota,
Rajesh Kumar Mandel,
Prabhat Adhikari
Publication year - 2021
Publication title -
nepalese journal of cancer
Language(s) - English
Resource type - Journals
eISSN - 2594-3308
pISSN - 2594-3294
DOI - 10.3126/njc.v5i1.41366
Subject(s) - hepatoblastoma , medicine , abdominal distension , chemotherapy , abdominal mass , hepatic tumor , thrombocytosis , radiology , liver tumor , stage (stratigraphy) , surgery , hepatocellular carcinoma , platelet , paleontology , biology
In children, commonest liver tumor is hepatoblastoma. We present a 14-month-old male child who presented with abdominal distension and loose stool. Radiological imaging revealed solid hepatic mass. Hematological investigations revealed anemia, thrombocytosis and high Serum alpha fetoprotein (AFP) level. Ultrasound (USG) guided FNAC confirmed the mass to be hepatoblastoma. CT scan revealed hepatoblastoma PRETEXT stage III. The patient underwent 6 cycles of neoadjuvant chemotherapy and responded to POSTTEXT stage II. Left hemi-hepatectomy was done with clear resectin margins. Complete surgical excision of the mass after preoperative chemotherapy remains the mainstay of the treatment of locally advanced hepatoblastoma.