All issues > Volume 49(6); 2006

Case Report

Korean J Pediatr. 2006;49(6):691-695. Published online June 15, 2006.

A case of recurrent hepatoblastoma : lung, heart and brain metastasis

Sun Mi SM Park¹, Byung Kyu BK Choe¹, Yeo Hyang YH Kim¹, Heung Sik HS Kim¹, Tae Chan TC Kwon¹, Hee Jung HJ Lee²

¹Department of Pediatrics, Keimyung University School of Medicine, Daegu, Korea
²Department of Radiology, Keimyung University School of Medicine, Daegu, Korea

Correspondence Heung Sik HS Kim ,Email: kimhs@dsmc.or.kr

Abstract

Hepatoblastoma is a hepatic tumor predominantly occurring in children. The usual site of metastasis is the lung. There are only several reports worldwide on the distant metastasis of hepatoblastoma to the central nervous system in children. Only one reported case showed survival of a patient after multiple resections of a recurrent brain lesion. Involvement of the cardiovascular system has been reported in the medical literature. Lesions almost always involve the right-side of the heart. We report a case of recurrent hepatoblastoma at multiple sites, including brain, left atrium of the heart and lung in a 6-year-old girl who was partially treated in the past at the age of 1.5 years; the patient had been event-free for four and a half years.

Keywords :Hepatoblastoma , Metastasis , Left atrium , Brain