2007
DOI: 10.2350/06-08-0155.1
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Malignant Rhabdoid Tumor Mimicking Hepatoblastoma: A Case Report and Literature Review

Abstract: Hepatoblastoma accounts for the vast majority of malignant primary liver tumors in infancy. In contrast, rhabdoid tumors arising in the liver are extremely rare, but they can share clinical and histologic features with hepatoblastoma and can create diagnostic confusion, especially when one is dealing with small biopsies. In this case report we demonstrate that immunohistochemical and molecular techniques can identify the characteristic loss of INI1 and facilitate making the correct diagnosis of primary hepatic… Show more

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Cited by 35 publications
(12 citation statements)
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“…The most extensive published series about congenital hepatic tumors describes a poor prognosis for hepatoblastomas, with common early metastases and high mortality rates [13], but this series probably includes some cases of congenital rhabdoid tumors, an aggressive lesion previously classified as hepatoblastoma with negative α-fetoprotein. As mentioned elsewhere in this article, immunochemistry tests for INI1/BAF47 protein, which is abnormally low in all rhabdoid tumors, have recently allowed a correct differentiation between the entities [36, 37, 53, 54], which present similar findings on imaging studies.…”
Section: Hepatic Tumorsmentioning
confidence: 82%
“…The most extensive published series about congenital hepatic tumors describes a poor prognosis for hepatoblastomas, with common early metastases and high mortality rates [13], but this series probably includes some cases of congenital rhabdoid tumors, an aggressive lesion previously classified as hepatoblastoma with negative α-fetoprotein. As mentioned elsewhere in this article, immunochemistry tests for INI1/BAF47 protein, which is abnormally low in all rhabdoid tumors, have recently allowed a correct differentiation between the entities [36, 37, 53, 54], which present similar findings on imaging studies.…”
Section: Hepatic Tumorsmentioning
confidence: 82%
“…Surgical treatment of non-CNS MRTs is initially guided by the location. However, preoperative diagnosis is not always possible, as non-CNS MRTs are frequently mistaken for other more common tumors that arise in the location in which they are found [15]. For MRTs presenting in the kidney, the initial management strategy follows that of Wilms tumor.…”
Section: Discussionmentioning
confidence: 99%
“…Rich glycogen within the cytoplasm is a notable and distinctive finding for ES/PNET, but is not specific [ 33 ]; MRT may show plentiful glycogen particles and no other specialized structures, mimicking ES/PNET ( Fig. 1B )[ 11 ]. MRT of soft tissue show large paranuclear whorls of intermediate filaments, with entrapped organelles and lipid droplets [ 34 ].…”
Section: Srct Of Unknown Histogenesismentioning
confidence: 99%