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Published on: June 15, 2020
Infantile hemangioendothelioma
R C Parmar1, S B Bavdekar, S S Borwankar
1Department of Pediatrics, Seth G.S. Medical College & K.E.M. Hospital, Parel, Mumbai-400 012, Maharashtra, India. rameshparmar@yaloo.com
Insights
Infantile hemangioendothelioma, a rare pediatric liver tumor, can present unusually in older infants. Surgical excision led to a full recovery with no recurrence in a 19-month-old patient.
Area of Science:
- Pediatric Oncology
- Hepatobiliary Surgery
Background:
- Primary hepatic tumors are rare in children, representing 3% of pediatric neoplasms.
- Infantile hemangioendothelioma is a benign hepatic tumor of mesenchymal origin, typically diagnosed before six months of age.
Observation:
- This report details an atypical case of infantile hemangioendothelioma in a 19-month-old female.
- The tumor exhibited an unusual presentation and progression for this age group.
Findings:
- Diagnosis was confirmed through combined radiological and histopathological evaluation.
- Surgical excision of the hepatic tumor resulted in an uneventful recovery.
Implications:
- This case highlights the importance of considering infantile hemangioendothelioma even with atypical presentations in older infants.
- Early diagnosis and surgical intervention can lead to favorable outcomes for pediatric liver tumors.
Abstract:
Primary hepatic tumors are uncommon in children and account for only three per cent of the tumors in children. Infantile hemangioendothelioma is a rare benign hepatic tumor arising from mesenchymal tissue. Most of the cases present before six months. An unusual presentation and progression of infantile hemangioendothelioma is reported in a 19-month-old female child. The diagnosis was arrived at by radiological and histopathological examination. The patient underwent excision surgery, following which made an uneventful recovery. On follow-up at six months, patient was asymptomatic with no evidence of recurrence.
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