Primary Surgical Resection of Localized Hepatoblastoma in an Adolescent.

ABSTRACT:

Introduction

Hepatoblastoma (HB) is the most common pediatric primary liver malignancy, but it is exceptionally rare in adolescents. Older patients often face delayed diagnosis and poorer prognoses compared to infants.

Case presentation

A 14-year-old Arab male presented with progressive abdominal distension and mild right upper quadrant pain. Examination revealed a large, firm abdominal mass. Serum alpha-fetoprotein (AFP) was markedly elevated (33,500 ng/mL), while liver function tests were normal. Contrast-enhanced CT showed a 15 × 12 × 10 cm heterogeneous mass involving right hepatic segments (5-8) and medial left segments (4a/b), without vascular invasion or metastasis. Based on characteristic imaging and elevated AFP, an extended right hepatectomy (resecting segme

SUBMITTER: Al-Bitar A 

PROVIDER: S-EPMC12503838 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature