Infantile hepatic hemangioendothelioma with subsequent malignant degeneration

A 4 year old child was seen because of an enlarging epigastric mass and a rapidly falling hematocrit 31/2 years following steroid treatment for multiple hepatic hemangioendotheliomas. Technetium 99m sulfur colloid liver scan and hepatic angiography confirmed the presence of a large, vascular mass in...

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Bibliographic Details
Published in:Pediatric radiology 1981-01, Vol.11 (1), p.42-45
Main Authors: Kirchner, S G, Heller, R M, Kasselberg, A G, Greene, H L
Format: Article
Language:English
Subjects:
Angiography
Child, Preschool
Female
Hemangioendothelioma - diagnostic imaging
Hemangioendothelioma - pathology
Hemangiosarcoma - diagnostic imaging
Hemangiosarcoma - pathology
Humans
Infant
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - pathology
Neoplasms, Multiple Primary - diagnostic imaging
Neoplasms, Multiple Primary - pathology
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Summary:A 4 year old child was seen because of an enlarging epigastric mass and a rapidly falling hematocrit 31/2 years following steroid treatment for multiple hepatic hemangioendotheliomas. Technetium 99m sulfur colloid liver scan and hepatic angiography confirmed the presence of a large, vascular mass involving the left lobe of the liver. A left hepatic lobectomy was performed and histopathology showed angiosarcoma. As children with hemangioendotheliomas of the liver begin to survive for longer periods of time, surveillance for the possible development of neoplastic disease is recommended.
ISSN:0301-0449
1432-1998
DOI:10.1007/BF00972043