Abstract
We report a case of hepatic mesenchymoma in an 8-year-old girl who presented with abdominal pain and ultrasonographic diagnosis of hepatic echinococcosis. Due to the good general condition of the patient and the diagnostic confirmation of liver hydatid disease by the CT scan, antiparasitic therapy with albendazole was started. After 1 month of therapy the girl's general condition worsened as did the ultrasonographic picture. On laparatomy a large cystic mass was observed within the right hepatic lobe and was removed. Pathological examination of the mass excluded an echinococcal cyst and demonstrated a malignant hepatic mesenchymoma.
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Cimarelli S, Virgilio A, Giovannelli A (1987) Sarcoma primitivo embrionale del fegato. Presentazione di un caso. Minerva Chir 42:1427–1430
Cozzutto C, DeBernardi B, Comelli A (1981) Malignant mesenchymoma of the liver in children: a clinicopathological and ultrastructural study. Hum Pathol 12:481–485
De Maioribus AC, Lally PK, Sim K, Isaacs H, Mahour H (1990) Mesenchymal hamartoma of the liver. A 35-year review. Arch Surg 125:598–600
Federici S Cuoghi D, Ceccarelli PL (1988) Structural analogies and differential diagnosis between benign and malignant mesenchymal neoplasms of the liver in childhood. Ital J Pediatr Surg Sci 2:11–15
Finegold M (1986) Pathology of neoplasia in children and adolescents. In: Bennington JL (ed) Major problems in pathology. W. B. Saunders, Philadelphia, vol. 18, pp 360–363
Gurses H, Sungur R, Orkan K (1987) Ultrasound diagnosis of liver hydatid disease. Acta Radiol 28:161–163
Lack EE, Schloo BL, Azumi N (1991) Undifferentiated (embryonal) sarcoma of the liver. Clinical and pathologic study of 16 cases with emphasis on immunohistochemical features. Am J Surg Pathol 15:1–16
Leuschner I, Schmid D, Harms D (1990) Undifferentiated sarcoma of the liver in childhood: morphology, flow cytometry and literature review. Hum Pathol 21:68–76
Lewall D, Mc Corkell SJ (1985) Hepatic echinococcal cysts: sonographic appearance and classification. Radiology 155:773–775
Marshall DG (1990) Malignant mesenchymoma of the liver in children. Letter comment. J Pediatr Surg 25:583
Newman KD, Schisgall R, Reaman G, Guzzetta PG (1989) Malignant mesenchymoma of the liver in children. J Pediatr Surg 24:781–783
Perilongo G, Carli M, Sainati L (1987) Undifferentiated (embryonal) sarcoma of the liver in childhood: results of a retrospective Italian study. Tumori 73:213–217
Randolph JG, Guzzetta PC (1986) Tumors of the liver. In: Welch KJ, et al (eds) Pediatric surgery. Year Book Medical Publisher, Chicago, pp 302–310
Smithson WA, Telander RL, Carney JA (1982) Mesenchymoma of the liver in childhood: five-year survival after combined-modality treatment. J Pediatr Surg 17:70–72
Steiner M Bostrum B, Leonard AS (1989) Undifferentiated (embryonal) sarcoma of the liver. A clinicopathologic study of a survivor treated with combined technique therapy. Cancer 64:1318–1322
Stocker JT, Ishak KG (1978) Undifferentiated (embryonal) sarcoma of the liver. Report of 31 cases. Cancer 42:336–348
Stout AP (1948) Mesenchymoma, the mixed tumor of mesenchymal derivatives. Ann Surg 127:278–290
Ware R, Friedman HS, Filston HC et al (1988) Childhood hepatic mesenchymoma: successful treatment with surgery and multiple-agent chemotherapy. Med Pediatr Oncol 16:62–65
Weinberg AG, Finegold MJ (1983) Primary hepatic tumors of childhood. Hum Pathol 14:512–537
Case records of Massachusetts General Hospital. Case 19. (1990) N Engl J Med 322: 213–217
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Tozzi, M.C., Tarani, L., DiNardo, R. et al. The hepatic malignant mesenchymoma: A case report. Eur J Pediatr 151, 488–491 (1992). https://doi.org/10.1007/BF01957750
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DOI: https://doi.org/10.1007/BF01957750