Liver Masses

Most liver tumors in children are malignant, with hepatoblastoma being the most common. Hepatocellular carcinoma is the next most common and has a poorer prognosis. The most common presenting complaint is that of weight loss and an abdominal mass. Workup includes plain x-rays as well as ultrasound and contrasted CT scan. Treatment is by surgical excision when possible. Cure rates for hepatoblastoma treated by resection with chemotherapy are much greater than those for hepatocellular carcinoma.

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