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KMID : 0857020050200010132
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Kosin Medical Journal
2005 Volume.20 No. 1 p.132 ~ p.135
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Hepatoblastoma Occuring in an Adult
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Ko Ji-Ho
Lee Seung-ryong
Lee Eun-Jung
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Abstract
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Hepatoblastoma is the most frequent primary malignant liver in children under the age of 2 years, but a few case have also been reported in adults. We present herein a rare case of hepatoblastoma in a 62 year male patient. He had been suffering from a pain and a palpable lump in the left upper abdominal area. His serum alpha-fetoprotein(AFP) was elevated to 77.89 ng/mL. Abdominal computed tomography demostrated a large, inhomogeneous low-density mass(14×11×10cm) occupying the left hepatic lobe, with some lower-density areas that showed hemorrhage and necrosis. 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 reptures. The tumor had a variegated surface compsoed of yellow-white friable tissue with multifocal hemorrhage. Microscopic examination revealaed a mixed hepatoblastoma consisted of epithelial and mesenchymal elements.
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KEYWORD
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Hepatoblastoma, Adult
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