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A previously healthy, 14-year-old boy presented with a one-year history of intermittent fever and the recent onset of severe right-sided abdominal pain. A CT scan revealed a 15.0 cm liver mass. Serum alpha-fetoprotein was markedly elevated. Subsequent neoadjuvant chemotherapy was followed by hemihepatectomy, which revealed a well circumscribed, 15.0 x 14.0 x 9.0 cm mass with tan-brown cut surface and several foci of hemorrhage.
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• Hepatocellular carcinoma
• Mesenchymal hamartoma of the liver
• Undifferentiated embryonal sarcoma of the liver
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