Preoperative chemoembolization for unresectable hepatoblastoma

Pediatr Surg Int. 2002 Mar;18(2-3):187-9. doi: 10.1007/s003830100638.

Abstract

Complete surgical resection offers the only chance for cure in patients with hepatoblastoma (HB). Patients with unresectable lesions are given preoperative chemotherapy in an attempt to create a resectable lesion. We present a case of an 11-month-old with an unresectable stage III HB unresponsive to systemic chemotherapy. Transfemoral hepatic-artery chemoembolization resulted in a surgically resectable tumor. The patient underwent a right trisegmentectomy with complete resection of the tumor and remains tumor-free 24 months postoperatively. Salvage chemoembolization can be an effective preoperative modality to convert an unresectable tumor into a resectable one.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Chemoembolization, Therapeutic*
  • Cisplatin / administration & dosage*
  • Doxorubicin / administration & dosage*
  • Hepatoblastoma / surgery
  • Hepatoblastoma / therapy*
  • Humans
  • Infant
  • Liver Neoplasms / surgery
  • Liver Neoplasms / therapy*
  • Male
  • Preoperative Care
  • Tomography, X-Ray Computed

Substances

  • Doxorubicin
  • Cisplatin