Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literature

Primary liver tumors are rare in childhood. Hepatoblastoma is the most prevalent and has a variable clinical presentation. The initial approach requires clinical suspicion, histopathological confirmation, and measurement of AFP levels, in addition to PRETEXT staging by abdominal computed tomography....

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Main Authors: Viviana Barragan, MD, Maria Camila Escudero, MD, Ivette C. Jimenez, MD, Catalina Correa, MD, Juan Pablo Luengas, MD
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322006860
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author Viviana Barragan, MD
Maria Camila Escudero, MD
Ivette C. Jimenez, MD
Catalina Correa, MD
Juan Pablo Luengas, MD
author_facet Viviana Barragan, MD
Maria Camila Escudero, MD
Ivette C. Jimenez, MD
Catalina Correa, MD
Juan Pablo Luengas, MD
author_sort Viviana Barragan, MD
collection DOAJ
description Primary liver tumors are rare in childhood. Hepatoblastoma is the most prevalent and has a variable clinical presentation. The initial approach requires clinical suspicion, histopathological confirmation, and measurement of AFP levels, in addition to PRETEXT staging by abdominal computed tomography. PET-CT is useful in metastatic disease for diagnosis and evaluation of therapeutic response. Pulmonary metastases at the time of diagnosis are frequent, while bone metastases are rare. We present the case of an infant with a history of metastatic hepatoblastoma, multiple relapses, and poor response to multimodal management. The patient had bone metastases demonstrated by PET-CT imaging.
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spelling doaj.art-b91625c912654255a9f6b2793595dcff2022-12-22T03:48:04ZengElsevierRadiology Case Reports1930-04332022-11-01171142724275Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literatureViviana Barragan, MD0Maria Camila Escudero, MD1Ivette C. Jimenez, MD2Catalina Correa, MD3Juan Pablo Luengas, MD4Universidad Militar Nueva Granada, Hospital Militar Central, Bogotá, DC, ColombiaUniversidad de La Sabana, Bogotá, DC, ColombiaUniversidad El Bosque, Bogotá, DC, ColombiaHospital Militar Central, Bogotá D.C, ColombiaInstituto Nacional de Cancerología, Bogotá́, DC, ColombiaPrimary liver tumors are rare in childhood. Hepatoblastoma is the most prevalent and has a variable clinical presentation. The initial approach requires clinical suspicion, histopathological confirmation, and measurement of AFP levels, in addition to PRETEXT staging by abdominal computed tomography. PET-CT is useful in metastatic disease for diagnosis and evaluation of therapeutic response. Pulmonary metastases at the time of diagnosis are frequent, while bone metastases are rare. We present the case of an infant with a history of metastatic hepatoblastoma, multiple relapses, and poor response to multimodal management. The patient had bone metastases demonstrated by PET-CT imaging.http://www.sciencedirect.com/science/article/pii/S1930043322006860HepatoblastomaNeoplasm stagingAlpha-fetoproteinNeoplasm metastasisBoneTherapeutics
spellingShingle Viviana Barragan, MD
Maria Camila Escudero, MD
Ivette C. Jimenez, MD
Catalina Correa, MD
Juan Pablo Luengas, MD
Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literature
Radiology Case Reports
Hepatoblastoma
Neoplasm staging
Alpha-fetoprotein
Neoplasm metastasis
Bone
Therapeutics
title Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literature
title_full Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literature
title_fullStr Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literature
title_full_unstemmed Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literature
title_short Bone metastases in hepatoblastoma, an unusual presentation. Case report and review of the literature
title_sort bone metastases in hepatoblastoma an unusual presentation case report and review of the literature
topic Hepatoblastoma
Neoplasm staging
Alpha-fetoprotein
Neoplasm metastasis
Bone
Therapeutics
url http://www.sciencedirect.com/science/article/pii/S1930043322006860
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