Primary hepatic malignancies are uncommon in pediatrics. Tumors such as hepatocellular
carcinoma (HCC) develop typically in the setting of chronic liver disease. The incidence
of HCC in Wilson's disease-related cirrhosis is disproportionately lower than in many
other forms of end-stage liver disease. A preadolescent girl presented with Wilson's
disease cirrhosis and a HCC requiring orthotopic liver transplantation. This case
highlights the need to consider hepatic malignancies even in young Wilson's disease
patients. Pediatric Wilson's disease and the hepatic tumor literature are reviewed.
Keywords
Wilson's disease - hepatocellular carcinoma - pediatrics - liver transplantation