Abstract
Background
Hepatoblastoma arising from and limited to the caudate lobe is an extremely rare clinical
entity. The object of this case report is to present a case of isolated caudate lobe
resection due to hepatoblastoma originating in the caudate lobe.
Methods
The patient was an 18-month-old male who was admitted with a huge tumor located in
the left hepatic lobe. The histological diagnosis was fetal type of hepatoblastoma.
The patient received 4 cycles of preoperative and 2 cycles of postoperative chemotherapy.
Results
During surgical exploration, a well-defined, exophytic tumor originating in the caudate
lobe was found. Isolated caudate lobe (Spiegel lobe) resection was performed. The
intra- and postoperative course was uneventful. Surgical margins were negative for
tumor. The patient remains alive with no signs of recurrence 15 months after surgery.
Conclusions
Isolated caudate lobe resection is one of the most challenging procedures in liver
surgery. Despite the technical difficulties and high complications risk, isolated
caudate lobectomy can be performed successfully in children. It needs to be noted
that in the reported case, preoperative chemotherapy shrunk the tumor and largely
facilitated its resection.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Complete resection of hepatoblastoma originating in the caudate lobe: case report and literature review.Pediatr Surg Int. 2009; 25: 1017-1020
- Pediatric liver tumors.Springer, Berlin Heidelberg2011
- Surgical outcomes of isolated caudate lobe resection: a single series of 19 patients.Surgery. 2002; 132: 697-708
- Anterior transhepatic approach for isolated resection of the caudate lobe of the liver.World J Surg. 1999; 23: 97-101
- Complete resection of the caudate lobe of the liver: technique and results.Br J Surg. 1996; 83: 1076-1081
- Surgical approach for hepatic caudate lobectomy: review of 401 cases.J Am Coll Surg. 2007; 204: 118-127
- Caudate hepatectomy for cancer: a single institution experience with 150 patients.J Am Coll Surg. 2005; 200: 345-352
- Resection after intraarterial chemotherapy of a hepatoblastoma originating in the caudate lobe.Surgery. 1990; 107: 231-235
- A hepatoblastoma originating in the caudate lobe radically resected with the inferior vena cava.Surgery. 1991; 109: 208-213
- A resected case of hepatoblastoma originating in the caudate lobe.Eur J Pediatr Surg. 1992; 2: 49-51
- Isolated hepatic caudate lobectomy.Surgery. 1994; 115: 757-761
- Isolated caudate lobe resection for hepatic tumor: surgical approaches and perioperative outcomes.Am J Surg. 2010; 200: 346-351
- Association between surgical margins and long-term outcome in advanced hepatoblastoma.J Pediatr Surg. 2004; 39: 721-725
- Complete surgical resection is curative for children with hepatoblastoma with pure fetal histology: a report from the children's oncology group.J Clin Oncol. 2011; 29: 3301-3306
Article Info
Publication History
Accepted:
February 28,
2013
Received in revised form:
January 30,
2013
Received:
November 13,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
