Alshaya Ali K, AlRashed Rema, AlShihri Ahmad M, Almodhaiberi Helayel, Al Hasan Ibrahim, Algarni Abdullah A
Department of Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus. 2024 Sep 4;16(9):e68604. doi: 10.7759/cureus.68604. eCollection 2024 Sep.
The extent of hepatic tumors in childhood differs from that found in older age groups. Some of these tumors are believed to be quite rare like undifferentiated embryonal sarcoma of the liver (UESL). The challenge in diagnosis arises from the nonspecific clinical, biochemical, and radiological features, with definitive diagnosis requiring pathological confirmation following surgical excision. Treatment options with neoadjuvant chemotherapy and surgical resection with satisfactory outcomes have been reported in the literature as well as in our case. We present the case of an 8-year-old boy who initially presented with nonspecific symptoms and was diagnosed with UESL. Following a multidisciplinary team discussion, he was treated with chemotherapy and surgical resection. Post-resection follow-up with MRI revealed stable findings.
儿童肝脏肿瘤的情况与年龄较大的人群不同。其中一些肿瘤被认为相当罕见,如肝脏未分化胚胎性肉瘤(UESL)。诊断的挑战源于非特异性的临床、生化和放射学特征,明确诊断需要手术切除后进行病理证实。文献以及我们的病例中均报道了新辅助化疗和手术切除的治疗方案,且效果良好。我们报告了一例8岁男孩的病例,他最初表现为非特异性症状,被诊断为UESL。经过多学科团队讨论后,他接受了化疗和手术切除。切除术后的MRI随访显示结果稳定。