Abstract

VILLEGAS IPIALES, Santiago; PAREDES LASCANO, Patricia  and  BRAVO PAREDES, Alejandro. Hepatoblastoma in a pediatric patient about a case. Pediatr. (Asunción) [online]. 2023, vol.50, n.2, pp.140-145.  Epub Aug 18, 2023. ISSN 1683-9803.  https://doi.org/10.31698/ped.50022023010.

The incidence of hepatoblastoma around the world remains constant between 0.5 and 1.5 cases per million children per year. In the United States of America, an annual incidence of approximately 1 per million is reported for hepatoblastoma in children under 15 years of age. In Ecuador, in a study carried out in the city of Cuenca, it ranks seventh among pediatric tumors. It is an infrequent tumor, its incidence seems to have increased in recent years. It can appear in isolation or be part of a predisposing syndrome. We present the case of a 3-year-old preschool female pediatric patient with no significant perinatal history, product of a third pregnancy, born by cesarean section due to presentation of dystocia at 39 weeks. She had a complete vaccination for her age. As past medical history, she was hospitalized for acute diarrheal disease at 2 years of age. She had no surgical history, family pathological history except for a maternal aunt with hypothyroidism. Complementary blood and imaging tests were performed, which revealed an abdominal liver-dependent mass, compatible with hepatoblastoma with AFP levels greater than 1000 ng/ml.

Keywords : Liver tumors; hepatoblastoma; alpha-fetoprotein; case presentation.

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