Primary malignant hepatic tumors in children--a clinicoradiological profile.
A retrospective analysis of clinicoradiological records of 14 patients with primary malignant tumors of liver (12 hepatoblastomas, 2 embryonal sarcomas) was done. High levels of alpha feto protein were found in four out of six patients and plain X-ray calcification was seen in 33% of patients with hepatoblastoma. Hepatoblastoma was predominantly (80%) a right lobar, illdefined, heterogenous solid mass, which was mixed attenuating on CT scan with areas of patchy enhancement. Angiography was useful in vascular mapping for surgery. A rare association of congenital dysplastic kidney with hepatoblastoma was noted. The imaging protocol for a malignant hepatic tumor and possible differentiating features from the rare entity of embryonal sarcoma are discussed.
Khosla
A
A
Department of Radio-diagnosis, All India Institute of Medical Sciences, New Delhi.
Mukhopadhyay
S
S
Berry
M
M
D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008113:Liver Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D008637:Mesenchymoma / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography