AI Article Synopsis
- * A case study details a 14-year-old boy with HBV who developed multinational HCC, presenting symptoms like abdominal distension and jaundice and confirmed through CECT and histopathology.
- * The child's presentation mirrored that of adults, with risk factors including viral hepatitis and male gender; notably, he had no previous signs of liver issues before being diagnosed.
Article Abstract
Hepatocellular carcinoma (HCC) is much rarer in children and adolescents in comparison to adults with an incidence of 0.7/1,000,000 per year. Hepatitis B virus, a known carcinogen increases the chances of HCC at a young age. Very few case reports of HCC developing in HBV-positive male children have been published.We present a case of a 14-year-old Hepatitis B-positive boy who presented with abdominal distension and jaundice. Contrast enhanced computerized tomography (CECT) whole abdomen suggested a diagnosis of multinodular HCC with no evidence of metastasis on FDG PET-CECT. Histopathology with immunohistochemistry confirmed the diagnosis of moderately differentiated HCC.Clinical presentation of HCC in children is similar to adults. Viral hepatitis, metabolic disorders, and male gender increase the risk of HCC. In our case, boy never had any prior history of jaundice, abdominal pain/distension, or any other illness suggestive of liver dysfunction. When the boy was found to be HBV positive, his mother was also screened and turned out to be Hepatitis B virus positive. Histopathology along with a panel of immunohistochemical markers clinched the final diagnosis.
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| http://dx.doi.org/10.4103/jcrt.jcrt_1769_22 | DOI Listing |
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