Living and deceased donor liver transplantation for unresectable hepatoblastoma at a single center.

Published

Journal Article

Hepatoblastoma (HB) is the most common malignant liver tumor in children. The application of living donor liver transplantation (LDLT) in the management of unresectable HB may add new therapeutic opportunities. We evaluated the outcomes of patients who underwent liver transplantation for treatment of unresectable HB in the period between August 1985 and June 2003. Ten children had a diagnosis of unresectable HB. Mean age at transplantation was 5.8 yr. Eight patients were transplanted with deceased donor grafts. Two patients underwent LDLT. Pre-transplant chemotherapy was used in 90% of cases. Post-transplant survival ranges from 3.7 to 18.6 yr. Three patients died of recurrent disease at 4, 14 and 38 months. The two LDLT recipients were able to get pre-transplant chemotherapy with a rapid decision towards transplantation; both are alive and well at 5.5 and 11 yr post-transplant. Our experience supports the role of LDLT and deceased donor liver transplantation in the management of unresectable HB when waiting times can be detrimental to the patient's survival.

Full Text

Duke Authors

Cited Authors

  • Mejia, A; Langnas, AN; Shaw, BW; Torres, C; Sudan, DL

Published Date

  • December 2005

Published In

Volume / Issue

  • 19 / 6

Start / End Page

  • 721 - 725

PubMed ID

  • 16313316

Pubmed Central ID

  • 16313316

International Standard Serial Number (ISSN)

  • 0902-0063

Digital Object Identifier (DOI)

  • 10.1111/j.1399-0012.2005.00410.x

Language

  • eng

Conference Location

  • Denmark