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Thursday, 14 May 2020

CASE 584: INFANTILE MESENCHYMAL HAMARTOMA IN LIVER, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, Prof NGUYỄN SÀO TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Male child 3 months old, well feeding and weight .
Dr Truong Dinh Khai [Children Hospital N2] detected liver lesions with high level of AFP, suspected hepatoblastoma. But Wako tests= AFP 6,388.4; AFP L3 and DCP in normal values.

At Medic, ultrasound thought about infectious lesions in right lobe #56x53mm, solid, septation with cystic appearance. 




MRI (Gado)= Right lobe of liver lesions may belong to mesenchymal sarcoma, AFP  got down <2,000.



Operation for removing liver tumor.
Macro and microscopic specimens with results are Mesenchymal Hamartoma in liver.

2 months post op selective hepatectomy, in reexamination check-up, regular weight gain normaly # 8kg of 5.5 months old, AFP downed at 44 ng/mL (last time 74ng/mL). Not detected relapse tumor. 

Conclusion :

Hepatic Mesenchymal Hamartoma is a rare benign tumor in children. Tumor appeares in big cyst, septated  or solid matter with small cysts.  Hepatic mesenchymal sarcoma is a different diagnostic item with asthenia, invasion to vessels, biliary obstruction.


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