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Multiple malignant and benign lesions in the liver in a child with adrenocortical carcinoma
Authors:Ina Sorge  Uta Bierbach  Rainer Finke  Wolfgang Hirsch
Affiliation:(1) Department of Paediatric Radiology, University of Leipzig, Liebigstrasse 20a, 04103 Leipzig, Germany;(2) Department of Paediatrics, University of Leipzig, Leipzig, Germany;(3) Department of Paediatric Surgery, University of Halle, Halle, Germany
Abstract:We report 4-year-old girl who was diagnosed with adrenocortical carcinoma when she was 2 years old. At the time of diagnosis there were no metastases, but 6 months later multiple liver metastases appeared. Following intensive chemotherapy the metastases resolved completely. Multifocal lesions were detected in the liver by US 16 months later. Their morphology on US and MRI differed from the previous metastases. Histopathological examination confirmed focal nodular hyperplasia. We discuss the origin and the uncommon appearance of multifocal nodular hyperplasia in hormone-active tumours such as adrenocortical carcinoma in children.
Keywords:Adrenocortical carcinoma  Focal nodular hyperplasia  Liver metastases  Children
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