An 18-year-old man with hepatitis B virus infection and hepatoblastoma.
A young man presented with a large liver mass and positive hepatitis B virus markers. This 18-year-old male has developed ascites, jaundice, high serum alpha fetoprotein (AFP) level, liver mass and portal hypertension, without fever or calcification in the mass. All favored the diagnosis of rapidly, progressive hepatocellular carcinoma, however proven hepatoblastoma in liver biopsy. Hepatoblastoma usually manifests prior to the third year of life, but can rarely be seen in older children or adults. Although HCC rarely can be presented in young patients with HBV infection, but in patients without cirrhosis hepatoblastoma should be considered as the first possible diagnosis.
Gastroenterology Fellow, Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Saeid
SS
Mohammadi Bonehi
Associate Professor, Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Homayoon
H
Vahedi
Associate Professor, Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mehdi
M
Saberifiroozi
Professor, Department of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad
M
Vasei
Assistant Professor, Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Amir Pejman
AP
Hashemi Taheri
Ascites; Hepatitis B; Hepatoblastoma; High alpha fetoprotein; Liver mass; Malignancy