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. 2021 Mar 11;8(2):96–100. doi: 10.1159/000513962

Table 3.

Summary of the presentation of 22 reported cases of HEM, NOS

Characteristic Most common findings
Sex (F/M) 6/16

Age (range), years 4–23

Most common clinical presentation RUQ pain

Most common imaging characteristic A large solid tumor of the liver with peripheral enhancement and central necrosis

AFP (range), ng/mL 21,000–1,280,000

Pre-chemo pathology diagnosis HEM, NOS: 13

HBL: 5

nr: 4

Post-chemo pathology diagnosis HEM, NOS: 16

HCC-like: 2

HBL: 1

nr: 3

Histological findings Heterogeneous and complex with areas similar to HBL and areas similar to HCC

Positive immunohistochemical markers β-Catenin and glypican-3

Outcome (free of disease/died) 14 (63.7%)

HEM, NOS, hepatocellular malignant tumor, not otherwise specified; AFP, alpha-fetoprotein; HBL, hepatoblastoma; nr, not reported; HCC, hepatocellular carcinoma.