- Auteur(s) : Laurence Brugières, Sophie Branchereau, Véronique Laithier
, Institut Gustave-Roussy, département d’oncologie de l’enfant et de l’adolescent, 114, rue Édouard-Vaillant, 94805 Villejuif, France, CHU de Bicêtre, département de chirurgie pédiatrique, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre Cedex, France, CHU de Besançon, service d’hémato-oncologie pédiatrique, 2, place Saint-Jacques, 25030 Besançon, France
- Mots-clés : liver tumours, hepatoblastoma, hepatocellular carcinomas
- Page(s) : 219-28
- DOI : 10.1684/bdc.2011.1539
- Année de parution : 2012
Tumours and pseudotumours of the liver are a heterogeneous group of neoplasm including 60% of malignant tumours. Malignant liver tumours account for less than 2% of the lesions in children and vary considerably in incidence throughout the paediatric age range, with hepatoblastoma, rhabdoid tumour of the liver, hemangioendothelioma, biliary tract rhabdomysosarcoma and mesenchymal hamartoma in the first two years of life and hepatocellular carcinoma, focal nodular hyperplasia, and undifferentiated sarcoma in older children and adolescents. Treatment of malignant epithelial tumours is based on the surgical resection of the tumour associated with pre- and postoperative chemotherapy including cisplatinum. Modalities of the treatment are adapted to risk factors. Survival rates at three years are over 80% for localised hepatoblastoma whereas they are less than 30% in hepatocellular carcinomas. The role of targeted therapies still has to be defined.