Late recurrence of combined hepatocellular carcinoma and hepatoblastoma ina child: Case report and review of the literature

We report on a case of late relapse of hepatocellular carcinoma in a child suffering from combined hepatoblastoma and hepatocellular carcinoma, stage IV. This is a rare event, as it has been accepted that a 5-year period free of any signs of disease in children suffering from malignant hepatic tumor s is sufficient to classify such patients as survivors. In our patient, rec urrence of the hepatocellular carcinoma component was diagnosed more than f ive years after the initial diagnosis. This case illustrates the need for m ore prolonged follow-ups for such children.