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Hepatoblastoma is the most common pediatric primary liver tumor, usually presenting in the first 2 years of life. It occurs in non-cirrhotic liver as a large, solitary mass with well-defined borders and variable nodularity, hemorrhage, necrosis, and bile-staining. All of these features can be seen in this case. Mesenchymal components, such as osteoid or cartilage, occur in almost 50% and may be grossly apparent. Surgical resectability and histologic type are prognostic. Image courtesy of Dr. Jean-Christophe Fournet, Paris, France; humpath.com; Used with permission

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