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Case Reports
. 2016 Apr-Jun;21(2):84-6.
doi: 10.4103/0971-9261.176969.

Pancreatoblastoma masquerading as hepatoblastoma: A diagnostic dilemma

Aruna Prabhu  1 , Monica Bhagat  1 , Mukta Ramadwar  2 , Sajid S Qureshi  1
Affiliations
Case Reports

Pancreatoblastoma masquerading as hepatoblastoma: A diagnostic dilemma

Aruna Prabhu et al. J Indian Assoc Pediatr Surg. 2016 Apr-Jun.

Abstract

Clinicoradiological and histopathological differentiation of pancreatoblastoma from hepatoblastoma can often be a challenge in clinical practice owing to their peculiar resemblance. We report a case of a 4-year-old boy with a right hypochondriac region mass, which was diagnosed as hepatoblastoma on the basis of imaging, raised tumor marker, and biopsy; however, pancreatic origin of the mass was ascertained on exploration and pancreatoblastoma was confirmed on histopathology.

Keywords: Hepatoblastoma; masquerading; pancreatoblastoma.

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Figures

Figure 1
Figure 1
Computed tomography scan showing a well-defined mass with necrotic, nonenhancing areas within arising exophytically from segment V of the liver. The lesion displaces the portal and superior mesenteric vein (arrows)
Figure 2
Figure 2
(a) Intraoperative image showing the mass arising from the head of the pancreas. Duodenum is seen draping the mass (b) Cut-open specimen showing the cystic and lobulated solid areas (arrow: Gallbladder, arrowhead: Proximal jejunum (c) Pancreatoblastoma composed of sheets and nests of small, round, uniform cells. Tubular differentiation is seen in small parts of the tumor. Haematoxylin and eosin staining, 20×
See this image and copyright information in PMC

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