Some genetic health conditions increase a child's risk. These include:
Babies born at a very low birth weight also seem to be at higher risk.
Symptoms vary depending on the size of the tumor and whether it has spread. Symptoms can occur a bit differently in each child. They can include:
The symptoms of hepatoblastoma can be like other health conditions. Make sure your child sees a healthcare provider for a diagnosis.
You may take your child to the healthcare provider because of a lump, swelling, or pain in the belly abdomen, or other symptoms. The healthcare provider will ask about your child's symptoms. He or she will examine your child, focusing on the abdomen. Your child may need to see a specialist in diagnosing and treating cancer in children (pediatric oncologist). Your child may have tests such as:
After a diagnosis of hepatoblastoma, your child will have other tests. These help your child's healthcare providers learn more about the cancer. They will show how much and how far the cancer has spread (metastasized) in your child's body. Two groupings are then assigned:
Both groupings can have a value of 1 to 4. They are written as Roman numerals I, II, III, and IV. The higher the number, the more parts (lobes) of the liver involved and the more advanced the cancer is.
These groupings are important to know when deciding how to treat the cancer. Be sure to ask your healthcare provider to explain your child's PRETEXT and POSTTEXT groupings in a way you can understand.
If your child has been diagnosed with hepatoblastoma, you may want your child to see another oncologist. This means to get a second opinion. Your insurance company may require a second opinion.
Treatment will depend on the stage and other factors. The cancer can be treated with any of the below:
With any cancer, how well a child is expected to recover (prognosis) varies. Keep in mind:
A child may have complications from the tumor or from treatment, such as:
A child with a hepatoblastoma needs ongoing care. Your child will be seen by oncologists and other healthcare providers to treat any late effects of treatment and to watch for signs or symptoms of the tumor returning. Your child will be checked with imaging tests and other tests. And your child may see other healthcare providers for problems from the tumor or from treatment.
You can help your child manage his or her treatment in many ways. For example:
Call the healthcare provider if your child has:
Tips to help you get the most from a visit to your child’s healthcare provider: