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March 1995, Vol 149, No. 3 >
Article | March 1995

Pathological Case of the Month FREE

Amira Helal, MD, MRCP; Michael Nolan; Richard Bower, MD; Buff Mair, MD; Diane Debich-Spicer
Arch Pediatr Adolesc Med. 1995;149(3):315-316. doi:10.1001/archpedi.1995.02170150095018.
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A 10-MONTH-OLD previously healthy girl presented with a 3-month history of an abdominal mass. This mass was detected at a 6-month checkup by a primary care physician. The results of liver and kidney function tests as well as of a hepatic panel were all negative. No further workup was done. The infant was brought in because of a progressive increase in the size of the mass. She was otherwise asymptomatic and was gaining weight appropriately.

The mother vaguely recalled questions of a possibly enlarged liver in the neonatal period. Examination revealed a healthy-looking, active, happy little girl who appeared well developed and well nourished. No jaundice was detected. A 13-cm, firm, nontender mass was palpable in both the upper- and lower-right quadrants. Bowel sounds were audible only in the lower-left quadrant. Results of a complete blood cell count, an electrolyte analysis, and a liver function test were normal. An abdominal

REFERENCES

1 +
Bellani FF, Massimino M.  Liver tumors in childhood: epidemiology and clinic . J Surg Oncol Suppl . 1993;;3:119-121.
2 +
Caty MG, Shamberger RC.  Abdominal tumors in infancy and childhood . Pediatr Clin North Am . 1993;;40:1253-1269.
3 +
Ehren H, Mahour GH, Isaacs H Jr.  Benign liver tumors in infancy and childhood: report of 48 cases . Am J Surg . 1983;;145:325-329.
4 +
Stocker JT, Ishak KG.  Mesenchymal hamartoma of the liver: report of 30 cases and review of the literature . Pediatr Pathol . 1983;;1:245-267.
5 +
DeMaioribus CA, Lally KP, Sim K, Isaaks H, Mahour GH.  Mesenchymal hamartoma of the liver: a 35-year review . Arch Surg . 1990;;125:598-600.
6 +
Weinberg AG, Finegold M, eds. Pathology of Neoplasia in Children and Adolescents . Philadelphia, Pa: WB Saunders Co; 1986;;18.
7 +
Lennington WJ, Gray GF Jr, Page DL.  Mesenchymal hamartoma of liver: a regional ischemic lesion of a sequestered lobe . AJDC . 1993;;147:193-196.
8 +
Boechat Ml, Kangarloo H, Gilsanz V.  Hepatic masses in children . Semin Roentgenol . 1988;;23:185-193.
9 +
Dehner LP.  Hepatic tumors in the pediatric age group: a distinctive clinical pathologic spectrum . Perspect Pediatr Pathol . 1978;;4:217-268.
10 +
DeChadarevian JP, Powel BR, Faerber EN, et al.  Undifferentiated (embryonal) sarcoma arising in conjunction with mesenchymal hamartoma of the liver . Mod Pathol . 1994;;7:490-493.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Bellani FF, Massimino M.  Liver tumors in childhood: epidemiology and clinic . J Surg Oncol Suppl . 1993;;3:119-121.
2 +
Caty MG, Shamberger RC.  Abdominal tumors in infancy and childhood . Pediatr Clin North Am . 1993;;40:1253-1269.
3 +
Ehren H, Mahour GH, Isaacs H Jr.  Benign liver tumors in infancy and childhood: report of 48 cases . Am J Surg . 1983;;145:325-329.
4 +
Stocker JT, Ishak KG.  Mesenchymal hamartoma of the liver: report of 30 cases and review of the literature . Pediatr Pathol . 1983;;1:245-267.
5 +
DeMaioribus CA, Lally KP, Sim K, Isaaks H, Mahour GH.  Mesenchymal hamartoma of the liver: a 35-year review . Arch Surg . 1990;;125:598-600.
6 +
Weinberg AG, Finegold M, eds. Pathology of Neoplasia in Children and Adolescents . Philadelphia, Pa: WB Saunders Co; 1986;;18.
7 +
Lennington WJ, Gray GF Jr, Page DL.  Mesenchymal hamartoma of liver: a regional ischemic lesion of a sequestered lobe . AJDC . 1993;;147:193-196.
8 +
Boechat Ml, Kangarloo H, Gilsanz V.  Hepatic masses in children . Semin Roentgenol . 1988;;23:185-193.
9 +
Dehner LP.  Hepatic tumors in the pediatric age group: a distinctive clinical pathologic spectrum . Perspect Pediatr Pathol . 1978;;4:217-268.
10 +
DeChadarevian JP, Powel BR, Faerber EN, et al.  Undifferentiated (embryonal) sarcoma arising in conjunction with mesenchymal hamartoma of the liver . Mod Pathol . 1994;;7:490-493.

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