Hepatoblastoma cytology

  • How is hepatoblastoma diagnosed?

    Hepatoblastoma tumors often secrete a protein called alpha-fetoprotein (AFP) into the blood.
    An increase of this protein level in the blood is helpful in making the diagnosis.
    Imaging tests such as ultrasound, CT scan and MRI of the belly may also be done.
    A final diagnosis is made by biopsy or removal of the tumor..

  • What are the features of hepatoblastoma?

    Hepatoblastomas usually present with as a single, mildly painful, rapidly enlarging abdominal mass that arises in the right lobe of the liver in 55% to 60% of cases. [10] Rapid enlargement of these tumors rarely results in tumor rupture and hemorrhage.
    Tumors may reach up to 25 cm in size..

  • What is the diagnostic test for hepatoblastoma?

    Hepatoblastoma tumors often secrete a protein called alpha-fetoprotein (AFP) into the blood.
    An increase of this protein level in the blood is helpful in making the diagnosis.
    Imaging tests such as ultrasound, CT scan and MRI of the belly may also be done.
    A final diagnosis is made by biopsy or removal of the tumor..

  • What is the histological classification of hepatoblastoma?

    Two main histological types of HB occur: epithelial and mixed epithelial/mesenchymal.
    The epithelial type is further divided into subtypes, such as fetal, embryonal, combined fetal and embryonal or macrotrabecular and small cell type..

  • What is the marker for hepatoblastoma?

    Serum alpha-fetoprotein (AFP) is the most important clinical marker for HBL, and remains the key clinical marker of malignant change, response to the treatment, and relapse.
    However, there are some variants of both HBL and hepatocellular carcinoma (HCC) that have low or normal AFP levels (4,5)..

  • Hepatoblastomas originate from primitive hepatic stem cells that give rise to the epithelial components of the liver.
    Classically, these tumors are divided into 2 broad categories: epithelial type (E-HB) and mixed epithelial and mesenchymal type (MEM-HB).
  • On ultrasound, hepatoblastomas appear as predominantly echogenic soft tissue masses.
    In larger tumors heterogeneity and variable echogenicity is common.
    Even when large, they tend to be relatively well-defined 7.
    Intralesional calcifications may be visible as areas of shadowing 4,7.
  • Two main histological types of HB occur: epithelial and mixed epithelial/mesenchymal.
    The epithelial type is further divided into subtypes, such as fetal, embryonal, combined fetal and embryonal or macrotrabecular and small cell type.
Hepatoblastoma (HB) is the most common malignant pediatric liver tumor, and cytology material is often the only tissue available for evaluation before definitive therapy.
The aim of the present study is to describe cytological findings of HBL, to subclassify it, and to discuss differential diagnoses.

How does hepatoblastoma treatment work?

The beads are mixed with a substance that blocks the artery, cutting off blood flow to the tumor.
Most of the radiation is trapped near the tumor to kill the cancer cells.
This is done to shrink the tumor or to relieve symptoms and improve quality of life for children with hepatoblastoma.

,

What is the pathology of hepatoblastoma?

The pathology of liver tumors, including:

  1. hepatoblastoma
  2. is discussed elsewhere
(See "Pathology of malignant liver tumors" .) Hepatoblastoma is a rare tumor overall, but it is the most common primary malignant hepatic neoplasm in children, comprising two-thirds of primary liver tumors in this population [ 1 ].
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What tests are used to diagnose hepatoblastoma?

After taking a complete medical history and doing a physical examination of your child, we may use the following tests:

  1. Alpha-fetoprotein (AFP) test

AFP levels in the blood can be used both to diagnose hepatoblastoma and to monitor its response to treatment.
Computerized tomography scan (CT or CAT scan).

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