Split liver transplantation for retroperitoneal immature teratoma masquerading as hepatoblastoma
This study reports an infant aged 3 months with retroperitoneal immature teratoma involving the hepatic hilum, refractory to chemotherapy and treated with LT. The patient was referred to our hospital for management of a growing abdominal mass. Histopathology of a fine needle biopsy of the lesion suggested the possibility of a hepatoblastoma with teratoid features. Cisplatin‐based chemotherapy was initiated, but rapid growth of the tumor encasing the hepatic artery proper was detected, even after two cycles of chemotherapy. A split LT was carried out, and pathological examination of the explanted liver revealed the involvement of numerous neuroepithelial components, confirming the diagnosis of a Norris grade 3 immature teratoma. The patient recovered well and was discharged on day 19 post‐LT. As on date, on postoperative day 240, he has completed seven cycles of a 12‐cycle vinblastine and doxorubicin‐based adjuvant chemotherapy.
Source: Pediatric Transplantation - Category: Transplant Surgery Authors: Dongkyu Oh, Nam ‐Joon Yi, Sanghee Song, Ok Kyung Kim, Suk Kyun Hong, Kyung Chul Yoon, Sung Woo Ahn, Hyo‐Sin Kim, Hyeyoung Kim, Hyun‐Young Kim, Hyoung Jin Kang, Myungsu Lee, Kyoung Bun Lee, Kwang‐Woong Lee, Kyung Suk Suh Tags: CASE REPORT Source Type: research
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