# Metastatic Hepatoblastoma in Adolescence: A Clinical Case Report and Literature Review

## TL;DR

A 15-year-old girl was diagnosed with advanced hepatoblastoma, highlighting the need to consider this rare liver cancer in older adolescents.

## Contribution

This case report expands the known age range for hepatoblastoma and emphasizes its potential in older pediatric patients.

## Key findings

- Hepatoblastoma was diagnosed in a 15-year-old with metastases to the lungs.
- The patient showed symptoms like jaundice and abdominal distension.
- The case suggests hepatoblastoma should be considered in older adolescents with liver masses.

## Abstract

Hepatoblastoma is the most common hepatic neoplasm in children. However, its incidence is infrequent beyond age five. We present the case of a 15-year-old female diagnosed with metastatic hepatoblastoma during hospitalization for liver function deterioration. The patient presented with abdominal distension, jaundice, and other symptoms indicative of advanced disease. Imaging and biopsy confirmed stage IV epithelial hepatoblastoma with pulmonary metastases. This case underscores the importance of considering hepatoblastoma in older pediatric patients or young adults presenting with hepatic masses despite lacking traditional risk factors for liver malignancies.