Mixed hepatoblastoma in an adult--a case report and literature review
Journal of Korean Medical Science
; : 369-373, 1997.
Article
em En
| WPRIM
| ID: wpr-97819
Biblioteca responsável:
WPRO
ABSTRACT
Hepatoblastoma is thought to originate from embryonal hepatic tissue, and most of these tumors occur in children under the age of 2 years. Hepatoblastoma in adults is extremely rare, and the prognosis is much worse than the mixed hepatoblastoma of childhood. We experienced a case of mixed hepatoblastoma in a 51 year old female patient. She had been suffering from a mild pain and a palpable lump in the epigastric area. Serum AFP was 43,850 ng/ml. Computerized tomography and selective abdominal angiography showed a large low-density mass. With a suspicion of hepatocellular carcinoma of the left lobe, a left lateral segmentectomy was performed. The external surface showed a huge protruding mass and the capsule was previously ruptured. On section, the tumor was a 11 x 7 cm sized expanding mass which had a variegated surface composed of yellow-white friable tissue with multifocal hemorrhagic areas. Microscopic examination revealed a tumor consisted of epithelial and mesenchymal elements. The mesenchymal cells were spindle in shape and proliferated over the whole tumor with focal osteosarcomatous differentiation. The epithelial components showed well-differentiated hepatocellular carcinoma-like areas, poorly differentiated acinar or tubular structures.
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Tomografia Computadorizada por Raios X
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Hepatoblastoma
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Neoplasias Hepáticas
/
Pessoa de Meia-Idade
Tipo de estudo:
Prognostic_studies
Limite:
Female
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Humans
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
1997
Tipo de documento:
Article