Hepatic hemangioendothelioma : The need for early diagnosis and resection

tomography scan of the abdomen showed diffuse liver enlargement with multiple nodules without calcification, ascites or lymph node enlargement. A fine m needle biopsy of the liver showed scattered agm gregates of hyperchromatic epithelial cells with hepatoid features. The background showed blood forming elements and reactive inflammatory cells. The histologic findings were summarized as hepatoblasm m toma and the patient was treated with steroids and sent for chemotherapy. The parents were hesitant regarding chemom therapy and during a period of 2 weeks sought an expert’s opinion. During that time they observed a significant enlargem m ment of the abdomen that was the reason