Infantile mesenchymal hamartoma of the liver with elevated alpha fetoprotein.
| Autor: | Le LT; Medic Medical Center, Ho Chi Minh, Vietnam., Phan HT; Medic Medical Center, Ho Chi Minh, Vietnam., Nguyen TS; Medic Medical Center, Ho Chi Minh, Vietnam., Truong KD; Medical University, Ho Chi Minh, Vietnam., Nguyen DT; Medic Medical Center, Ho Chi Minh, Vietnam., Nguyen TB; Medic Medical Center, Ho Chi Minh, Vietnam., Pham TTT; Medic Medical Center, Ho Chi Minh, Vietnam. |
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| Jazyk: | angličtina |
| Zdroj: | BJR case reports [BJR Case Rep] 2021 Jan 28; Vol. 7 (3), pp. 20200196. Date of Electronic Publication: 2021 Jan 28 (Print Publication: 2021). |
| DOI: | 10.1259/bjrcr.20200196 |
| Abstrakt: | Mesenchymal hamartoma of the liver (MHL) is a benign tumour that most commonly occurs in children. In most cases of MHL, the α fetoprotein (AFP) level is within the normal limits, only in a few cases, increased AFP has been described which usually causes misdiagnosis of hepatoblastoma. We report a case of a 3-month-old paediatric patient who was incidentally detected with a very high level of AFP, at 6388.4 ng ml -1 . Ultrasound revealed a right liver tumour, segment VI, measuring at 56 × 53 mm. According to images of ultrasound and MRI, the diagnosis was mesenchymal hepatic sarcoma. The paediatric patient had surgery to remove the entire liver segment containing the tumour. Micropathological examination showed that the tumour was a MHL. The serum AFP level fell rapidly to near normal following the surgery. The MHL benign liver tumour with an atypical presentation caused a very high AFP level. This was a rare clinical case, and it was difficult to diagnose. (© 2021 The Authors. Published by the British Institute of Radiology.) |
| Databáze: | MEDLINE |
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