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
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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.