ROENTGENOLOGIC FEATURES OF A PRIMARY CARCINOMA OF THE LIVER IN INFANTS AND CHILDREN

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Abstract
Hepatic carcinoma is the most common carcinoma in infants and the most common primary liver tumor in childhood. pathologically, hepatic carcinoma may occur as a solitary mass in the liver and be surgically resectable or may be multinodular in form and have wide distribution throughout the liver. The hepatic isotopic photoscan is helpful in recognizing these pathologic types and determining resectability. Nearly 30 per cent of the lesions roentgenologically contain calcifications. The high dose intravenous urogram may show sufficient opacification of the liver to outline nonvascular tumor areas by localized radiolucent zones within the liver. Severe osteoporosis of bone is seen in nearly onehalf of the patients having hepatic carcinoma in childhood and the bone changes may improve if the tumor can be resected. Bone metastases are rare in hepatic carcinoma of childhood. Most patients in whom the tumor cannot be controlled exhibit pulmonary metastases later in the clinical course. Cirrhosis of the liver rarely is associated with hepatic carcinoma of childhood, whereas this association is common in adult cases. Eight well documented cases of carcinoma of the liver in infants and children have been seen in the Department of Radiology of the Henrietta Egleston Hospital for Children since January, 1946. The roentgenologic aspects of these cases are the basis for this report.

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