Abstract
Clinical analysis was made on 45 cases of hepatic tumor in childhood encountered in our institution during these 35 years. Thirty six cases were of malignant group, and all of 9 cases who didn't receive hepatic resection died while 15 of 27 (55.6%) cases who received hepatic resection survived. Among 22 cases with hepatoblastoma and hepatocellular carcinoma, 13 cases (59.1%) survived while 3 of them developed local recurrence and 8 exhibited pulmonary metastasis during the clinical course. The longest survival was obtained in an 8 month old boy who received right trisegmentectomy followed by resection of pulmonary metastasis twice, and is, now, disease-free at the age of 20 years. The improved prognosis of hepatic tumors in childhood is mainly due to (1) the introduction of modern image diagnotic procedures i. e., angiography, echography, CT and MRI. (2) improved technique of hepatic resection, i. e., CUSA, Pringle's method and Argon beam coagulator, and (3) the introduction of chemothetapy for combined use of Adriamycin and Cisplatin.
