case_images: PMC7585050_01
case_images: Abdominal macroscopic findings of the patient.
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case_images: An elastic, hard mass was palpable in his right abdomen on physical examination (Fig. 1).
case_images: a,b: Abdominal magnetic resonance imaging (T2weighted) showing a large solid tumor approximately 100 mm in diameter protruding into the abdominal cavity from the right hepatic lobe.
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case_images: Abdominal magnetic resonance imaging revealed a large solid tumor, with a heterogeneous interior on T2-weighted images, approximately 100 mm in diameter, protruding into the abdominal cavity from the right hepatic lobe (Fig. 2).
case_images: Chest computed tomography showing parenchymal nodules suspicious for metastases in both lungs.
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case_images: Chest computed tomography (CT) revealed parenchymal nodules considered to be metastases in both lobes of the lungs (Fig. 3).
case_images: The rupture site on the left side of the tumor.
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case_images: During the surgery, the left margin of the tumor ruptured and the tumor contents leaked into the abdominal cavity (Fig. 4).
case_images: Findings of complete removal of tumor protruding from segments 5,6.
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case_images: Therefore, we performed a partial resection of the liver (segments 5 and 6) along the boundary between the tumor and the healthy liver (Fig. 5).
case_images: Chemotherapy treatment course (modified SIOPEL-4 regimen) and AFP trends.
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case_images: The patient received six courses of chemotherapy (modified SIOPEL-4 regimen) in the pediatric department (Fig. 6).