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.
The specimen composes of cords of normal hepatocytes with loose cellular parenchyme, congestive blood vessels, hyalynized fibrous tissue.
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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