Bilateraler Nephroblastoma vs. Hepatoblastoma
Left picture: The diagnosis is a bilateral Wilm´s tumor; theoretically, other abdominal tumors have to be considered as well, such as hepatoblastoma, neuroblastoma, teratoma and rhabdomyosarcoma. Right picture: According to the work-up examinations and the operative findings including histology, the diagnosis is hepatoblastoma. The very large intrahepatic tumor does not exhibit distinct exophytic growth and gives the impression of involvement of the whole liver. The child survived due to a combined therapy (www.inctr.org). Malnutrition, local findings, and age (median age of hepatoblastoma 18-24 months) are possible indicators of a malignant hepatic tumor.
Left picture: Toddler with a large mass in the whole upper and middle belly, which is visible under the abdominal wall. The mass exhibits a right-left asymmetry concerning the contours and extension, and expands in direction of the flanks. Right picture: 1.6-year-old girl with malnutrition and a prominent upper and middle belly. In contrast to the contralateral patient, the abdomen is equally enlarged in all quadrants, and there is a distinct dilatation of the superficial veins.