[Hemihepatectomy in hepatoblastoma in an infant]

Our patient was the first registered and operated case caused by multifocal hepatoblastoma, located in the right lobe. The decision to operate, our young patient, was a certain challenge, considering local diagnostic and surgical possibilities. The results of the two-years follow up (based on every three-months check-ups), level of the alpha-fetoprotein, showed very fast normal level, even it were no so high preoperatively. We also did not have any sign of local reoccurrence or long distance metastasis. Chemotherapy does not have to be necessary prerequisite of extension surviving, specially in the fist phase, when the process is located in the lobe or segment, also resectable and without any metastasis.