PMC7585050_01
Abdominal macroscopic findings of the patient.
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An elastic, hard mass was palpable in his right abdomen on physical examination (Fig. 1).
a,b: Abdominal magnetic resonance imaging (T2weighted) showing a large solid tumor approximately 100 mm in diameter protruding into the abdominal cavity from the right hepatic lobe.
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Abdominal magnetic resonance imaging revealed a large solid tumor, with a heterogeneous interior on T2-weighted images, approximately 100 mm in diameter, protruding into the abdominal cavity from the right hepatic lobe (Fig. 2).
Chest computed tomography showing parenchymal nodules suspicious for metastases in both lungs.
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Chest computed tomography (CT) revealed parenchymal nodules considered to be metastases in both lobes of the lungs (Fig. 3).
The rupture site on the left side of the tumor.
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During the surgery, the left margin of the tumor ruptured and the tumor contents leaked into the abdominal cavity (Fig. 4).
Findings of complete removal of tumor protruding from segments 5,6.
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Therefore, we performed a partial resection of the liver (segments 5 and 6) along the boundary between the tumor and the healthy liver (Fig. 5).
Chemotherapy treatment course (modified SIOPEL-4 regimen) and AFP trends.
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The patient received six courses of chemotherapy (modified SIOPEL-4 regimen) in the pediatric department (Fig. 6).