Mesenchymal Hamartoma of the Liver Incidentally Discovered in a 4 Year Old Girl: Management and Treatment

Author:

Tlili Sameh1,Boughdir Malak2,Daib Aida3,Hellal Youssef3,Brahim Ehsen Ben4,Kaabar Nejib3,Abdallah Rabiaa Ben3

Affiliation:

1. Department of Surgery, Hospital of Zaghouan, Tunis, Tunisia

2. Department of Surgery, Hospital Mohamed Tahar Maamouri Nabeul, Tunis, Tunisia

3. Department of Pediatric Surgery, Hospital of Habib Thameur, Tunis, Tunisia

4. Department of Pathology, Hospital of Habib Thameur, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia

Abstract

Abstract Mesenchymal hamartomas of the liver is considered a benign tumour, although it provides significant challenges in the diagnosis and operative management. Clinical features, laboratory results and radiographic imaging are often non-specific and inconclusive. Thus, it is still difficult to differentiate from malignant lesion without pathological examination. While this tumour is usually diagnosed in the first 2 years of life, few cases in older children have been reported and most of them are case reports. In this article, we want to report our clinical evaluation, results of image diagnosis, surgical procedure and the follow-up simultaneously we discuss the possible differential diagnosis of such a case at this age.

Publisher

Medknow

Subject

Pediatrics, Perinatology and Child Health,Surgery

Reference11 articles.

1. Mesenchymal hamartoma of the liver. A clinical and pathologic study of nine cases;Lack;Am J Pediatr Hematol Oncol,1986

2. Conservative management of mesenchymal hamartoma of the liver;Barnhart;J Pediatr Surg,1997

3. Mesenchymal hamartoma of the liver:A systematic review;Stringer;J Pediatr Surg,2005

4. Differential diagnosis of tumors and tumor-like lesions of liver in infancy and childhood;Edmondson;AMA J Dis Child,1956

5. Mesenchymal hamartomas of the liver may be associated with increased serum alpha foetoprotein concentrations and mimic hepatoblastomas;Boman;Eur J Pediatr Surg,2004

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