title: An infant with a diagnostically challenging hepatic teratoma, hypofibrinogenemia, and adrenal neuroblastoma: case report.
abstract: Teratomas of the liver are exceedingly rare. Neuroblastoma is the most common, extracranial solid tumor of infancy. We describe the case of a 2-month-old, female infant who presented with an abdominal mass arising in the right lobe of the liver, and a severe coagulopathy, which necessitated cryoprecipitate infusion. Biopsy was interpreted as hepatoblastoma. Following resection, difficulty classifying the mass led to several consultations, and an eventual diagnosis of teratoma. During follow-up, the patient was diagnosed with right adrenal neuroblastoma, which, in retrospect, had been present before the hepatic resection. To our knowledge, these 2 tumors have never been reported together, or in combination with isolated hypofibrinogenemia.
authors.forename: Iris
authors.initials: I
authors.lastname: Fried
authors.forename: Eitan
authors.initials: E
authors.lastname: Rom-Gross
authors.forename: Milton
authors.initials: M
authors.lastname: Finegold
authors.forename: Natalia
authors.initials: N
authors.lastname: Simanovsky
authors.forename: Shoshana
authors.initials: S
authors.lastname: Revel-Vilk
authors.forename: Ziva
authors.initials: Z
authors.lastname: Ben-Neriah
authors.forename: Michael
authors.initials: M
authors.lastname: Weintraub
authors.forename: Orit
authors.initials: O
authors.lastname: Pappo
authors.forename: Karen
authors.initials: K
authors.lastname: Meir
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D000347:Afibrinogenemia / Q000150:complications / Q000151:congenital*; D005260:Female; D006801:Humans; D007223:Infant; D008113:Liver Neoplasms / Q000473:pathology*; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D009447:Neuroblastoma / Q000473:pathology*; D013724:Teratoma / Q000473:pathology*
keywords: hepatoblastoma; hypofibrinogenemia; liver tumor; neuroblastoma; teratoma