Hepatoblastoma

[size=6]A 14-year-old boy presents with a liver lesion in segments 2-4 (PRETEXT 2) VFEPR (-) tumor. AFP is elevated. No metastasis is found. The best next step for this patient is a neoadjuvant chemotherapy b open liver biopsy c early transplantation. d complete, margin negative resection of the tumor. e core needle biopsies[/size]

[size=6]A 9-year-old patient with a new diagnosis of de novo pediatric hepatocellular carcinoma is referred to your pediatric surgery clinic. Which of the following features of the tumor would be an indication for evaluation for transplantation? a Tumor located in segment 4B b PRETEXT III tumor c Tumor involving the hilum d Prior treatment of tumor with TACE[/size]

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A patient undergoes right hepatic lobectomy for hepatoblastoma. The final pathology indicates a histologically positive margin. The next step in management should be: A observation only if pure fetal histology is identified B platin-based chemo regimen C liver transplantation D second look laparotomy with completion trisegmentectomy E radiation therapy to tumor bed