Board Practice

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Question Neonatal Hepatic Masses

What is the most likely diagnosis?

A neonate presents with a large hepatic mass detected on prenatal ultrasound. Postnatal assessment reveals high-output cardiac failure. Doppler ultrasound images are provided.

AHepatoblastoma BMesenchymal Hamartoma CRapidly Involuting Congenital Hemangioma (RICH) DInfantile Hemangioma EMetastatic Neuroblastoma (Pepper syndrome)

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References

Chung EM, Cube R, Lewis RB, Conran RM. Pediatric Liver Masses Part 1: Benign Tumors. RadioGraphics. 2010;30(3):801–826.

Bruckheimer E, Bulbul ZR. Congenital hemangioma of the liver: a cause of high-output cardiac failure in neonates. J Pediatr. 2002;140(3):382.

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