CT Findings in Hepatoblastoma

Abstract
Hepatoblastoma is the 3rd most common intraabdominal malignant neoplasm in infants. Computed tomography [CT] of 6 patients with surgically proven hepatoblastoma was reviewed; abnormalities included large, diffuse, or multifocal liver masses with lower attenuation values than normal hepatic parenchyma after contrast enhancement. In 3 patients, areas of speckled or amorphous calcifications within the tumor were evident on CT, whereas calcification was present on conventional radiography in only 1 patient. In 4 of the 6 infants, CT demonstrated unresectable tumor by virtue of massive pansegmental involvement. CT is a useful tool for screening patients with suspected hepatoblastoma and for determining the anatomic extent of tumor and thus, selecting a group of children for aggressive surgical excision.

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