Role of Imaging in the Diagnosis of Hepatoblastoma: A Case Study

In children below 5 years, most common malignant tumour is hepatoblastoma. A male child of one-year-age presented with a mass in the abdomen in our case and there is significant abdominal distension. Underwent USG abdomen and CECT thorax and abdomen and CT abdomen angiography which revealed a solid mass lesion in the liver that is a hepatic tumour. There is increase in AFP and serum βHCG. Thus, the diagnosis of hepatoblastoma made. CECT chest revealed multiple metastasis to both lungs and CECT abdomen revealed the mass lesion situated at the junction of right and left lobe of liver with mild heterogeneous enhancement in the hypoattenuating mass. CT abdominal angiography does not reveal any spoke-wheel pattern but suggestive of tumour nodularity with lobulation with small hypoechoic & anechoic areas suggesting hemorrhage or necrosis.