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Management of Hepatoblastoma: ICMR Consensus Document
Sandeep Agarwala1, Alisha Gupta2, Deepak Bansal3
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India. sandpagr@hotmail.com.
Indian Journal of Pediatrics
|March 30, 2017
Summary
Significant progress in pediatric hepatoblastoma (HB) management has been achieved through improved diagnostics, chemotherapy, surgery, and transplantation. This study provides national consensus guidelines for HB treatment in resource-limited settings like India.
Area of Science:
- Pediatric Oncology
- Hepatobiliary Malignancies
Background:
- Hepatoblastoma (HB) management has seen dramatic advancements over 30 years.
- Improvements in diagnostic imaging, chemotherapy, surgical care, and liver transplantation have contributed.
- Global contributions from SIOPEL, COG, GPOH, and JPLT have driven progress.
Purpose of the Study:
- To develop a national consensus guideline for pediatric hepatoblastoma management.
- To provide recommendations for practitioners in resource-challenged nations, including India.
Main Methods:
- Literature review and analysis of 3 decades of experience.
- Expert group consensus development by the Indian Council of Medical Research (ICMR).
Main Results:
- Consensus recommendations for the management of pediatric hepatoblastoma.
- Guidelines tailored for resource-limited settings.
Conclusions:
- The developed guidelines aim to standardize and improve hepatoblastoma care in India.
- These recommendations address the unique challenges of managing pediatric liver cancer in resource-constrained environments.

