Liver CT Appearances

Hepatoblastoma CT Findings

• Well circumscribed mass
• Slightly hypoattenuating
• Hypervascular
• May have a central scar
• More commonly in the right lobe of the liver
• Can be solitary or multifocal
• Calcification may occur but is uncommon
• Larger tumors may have hemorrhage and/or cystic necrosis

Other Information About Hepatoblastoma

Etiology:

• Unknown
• Associated with low birth weight, premature birth, and preeclampsia
• Alcohol and tobacco use during pregnancy increases risk of hepatoblastoma

Epidemiology:

• Very rare
• Typically presents before age 3

Presentation:

• Abdominal pain
• Nausea and/or vomiting
• Palpable mass
• Weight loss
• Anorexia
• Jaundice

Prognosis:

• The 5-year relative survival rate is about 80-90%

Related Pearls: Malignant Tumors