Podcasts
Hepatoblastoma
This is an interactive discussion between Todd Ponsky, MD and Max Langham, MD on the management of hepatoblastomas.
Dr. Max Langham is a Professor of Surgery and Pediatrics and the Vice Chairman of the Department of Surgery at the University of Tennessee Health Science Center.
Sections
- Introduction (00:00)
- Work-up of a newly diagnosed liver mass (01:15)
- Differential diagnosis of liver mass (04:20)
- Tumor biopsy (08:03)
- Pretext Staging System (10:11)
- Upfront Resection (14:43)
- How to use the pretext system to determine resectability (16:18)
- Annotation factors (20:14)
- Histologic subtypes (22:25)
- Management of unresectable tumors (25:17)
- What makes hepatoblastoma high-risk? (28:44)
- Approach to pulmonary metastases (30:52)
- Chemotherapy regimen for metastatic hepatoblastoma (34:01)
- Maneuvers to improve safety and success of liver resection (35:29)
- Anesthesia care during resection (38:27)
- Key surgical steps (39:32)
- Extreme resection and vascular reconstruction (41:58)
- Recurrent disease (44:35)
- Post-resection care (46:36)
- Management of pretext 4 lesions (47:49)
- Summary (49:45)
