Iacob Daniela, Serban Alexandru, Fufezan Otilia, Badea Radu, Iancu Cornel, Mitre Călin, Neamţu Stefania
3rd Pediatric Clinic, "Iuliu Haţieganu" UMF Cluj-Napoca, Str. Campeni nr. 2-4, Cluj-Napoca, Romania; Email:
Med Ultrason. 2010 Jun;12(2):157-62.
Hepatoblastoma represents the child's most frequent malignant hepatic tumor. We present the case of a one-year old prematurely born patient with an abdominal mass. Ultrasound and CT scan demonstrated a solid hepatic tumor. Serum alpha fetoprotein level was increased. He presented thrombocytosis and a left lobe hepatectomy was performed. Pathological examination revealed complete excision of a mixed hepatoblastoma. Hepatic tumor at a child under 3 years old correlated with elevated serum alpha fetoprotein and thrombocytosis are almost patognomonic for hepatoblastoma. Complete surgery is the mainstay of therapy in hepatoblastoma.
肝母细胞瘤是儿童最常见的肝脏恶性肿瘤。我们报告一例一岁早产患儿，腹部有肿块。超声和CT扫描显示肝脏有实性肿瘤。血清甲胎蛋白水平升高。患儿有血小板增多症，遂行左叶肝切除术。病理检查显示混合性肝母细胞瘤完整切除。3岁以下儿童肝脏肿瘤伴有血清甲胎蛋白升高和血小板增多症几乎是肝母细胞瘤的特征性表现。完整手术是肝母细胞瘤治疗的主要手段。
