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Fernandez-Pineda I, Sandoval JA, Davidoff AM. Hepatic metastatic disease in pediatric and adolescent solid tumors. World J Hepatol. 2015;7(14):1807-17doi: 10.4254/wjh.v7.i14.1807.
Fernandez-Pineda, I., Sandoval, J. A., & Davidoff, A. M. (2015). Hepatic metastatic disease in pediatric and adolescent solid tumors. World journal of hepatology, 7(14), 1807-17. https://doi.org/10.4254/wjh.v7.i14.1807
Fernandez-Pineda, Israel, et al. "Hepatic metastatic disease in pediatric and adolescent solid tumors." World journal of hepatology vol. 7,14 (2015): 1807-17. doi: https://doi.org/10.4254/wjh.v7.i14.1807
Fernandez-Pineda I, Sandoval JA, Davidoff AM. Hepatic metastatic disease in pediatric and adolescent solid tumors. World J Hepatol. 2015 Jul 18;7(14):1807-17. doi: 10.4254/wjh.v7.i14.1807. PMID: 26207162; PMCID: PMC4506938.
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World J Hepatol. 2015 Jul 18;7(14):1807-17. doi: 10.4254/wjh.v7.i14.1807.

Hepatic metastatic disease in pediatric and adolescent solid tumors.

World journal of hepatology

Israel Fernandez-Pineda, John A Sandoval, Andrew M Davidoff

Affiliations

  1. Israel Fernandez-Pineda, John A Sandoval, Andrew M Davidoff, Department of Surgery, St. Jude Children's Research Hospital, Memphis, TN 38105, United States.

PMID: 26207162 PMCID: PMC4506938 DOI: 10.4254/wjh.v7.i14.1807

Abstract

The management of hepatic metastatic disease from solid tumors in adults has been extensively described and resection of metastatic liver lesions from colorectal adenocarcinoma, renal adenocarcinoma, breast cancer, testicular cancer, and neuroendocrine tumors (NET) have demonstrated therapeutic benefits in select patients. However, there are few reports in the literature on the management of hepatic metastatic disease in the pediatric and adolescent populations and the effectiveness of hepatic metastasectomy. This may be due to the much lower incidence of pediatric malignancies and the higher chemosensitivity of childhood tumors which make hepatic metastasectomy less likely to be required. We review liver involvement with metastatic disease from the main pediatric solid tumors, including neuroblastoma and Wilms tumor focusing on the management and treatment options. We also review other solid malignant tumors which may have liver metastases including germ cell tumors, gastrointestinal stromal tumors, osteosarcoma, desmoplastic small round cell tumors and NET. However, these histological subtypes are so rare in the pediatric and adolescent populations that the exact incidence and best management of hepatic metastatic disease are unknown and can only be extrapolated from adult series.

Keywords: Hepatic metastatic disease; Neuroblastoma; Pediatric and adolescent solid tumors; Wilms tumor

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