Posted by: Doug Weaver | 03.13.08

What Is Hepatoblastoma

Maybe I should’ve provided a little information about the disease before I provided information about the cure…

Hepatoblastoma is a rare form of childhood liver cancer that affects about 1 out of 1,000,000 children.  Typically, it occurs before the age of 18 months, but almost exclusively before the 5th birthday.  It can be associated with other conditions, such as familial adenomatous polyposis (FAP) which runs in Crystal’s family.  Typically, the only symptom is a lump in the abdomen.  Other symptoms are weight loss, decreased appetite, back pain, jaundice, anemia, and vomiting.

Hepatoblastoma is often missed by parents and providers because of its rarity and lack of symptoms.  Diagnosis is made by biopsy, imaging, and other blood tests.  One of the bigger indicators is alpha-fetoprotein(AFP) in the blood.  AFP occurs normally in infants and decreases as we age.  Elevated levels of AFP tend to be good indicators that there is something going on.

Hepatoblastoma has four stages:

  • Stage I – A tumor that is completely removable with surgery (liver resection).
  • Stage II – A tumor that is mostly removed by resection.  The small amounts left over are treated by chemotherapy.
  • Stage III – A tumor that is unable to be removed by resection.  Treatment consists of chemotherapy then resection of the remaining amount.  Chemotherapy is used again after resection to remove the remaining amounts.
  • Stage IV – Cancer that has spread to other organs.  Hepatoblastoma typically spreads first to the lungs and then to the lymph nodes.

Treatment varies by stage, but chemotherapy is typically used for all stages.  Transplant is possible for the later stages and typically has a pretty good survival rate.  Survival rates for hepatoblastoma vary with stage.  Stages I and II have about a 90% 5 year cancer free rate.  Stage III is about 60%.  Stage IV is about 25%. (source: http://www.emedicine.com/ped/topic982.htm)

We are so very blessed for Noah’s cancer to be only a stage III.  As you can see, the survival rates go down quite a bit if the cancer spreads.  I thank God every day for this reassurance.

I want to thank everyone for their response to the Noah’s Song.  There has been overwhelming support for Noah.  That means so much.  We are very optimistic and with all of the prayer and intercession being made for Noah, I’m sure that we will come out on the other side of this by God’s grace.

Check the links page.  I should be updating that often.  If you would, please spread the word of this website.  While the primary purpose of this site is to keep everyone up to date on Noah’s progress, I would love this to touch someone or to help another family that may be facing this or a similar situation. 

God Bless,

Doug


Responses

  1. Hope the road to recovery is a speedy one. If you need anything from cheap laughs to help around the office let me know.

  2. You and your family are in my thoughts. If you need anything at all, please let me know.

  3. Doug – Best of luck to Noah and to your family as you go through this difficult experience. I offer you the following as a positive outcome that may give you hope in the months ahead.

    My daughter Alexandra (now a healthy 4 1/2 year old) was unexpectedly diagnosed with hepatoblastoma when an abdominal lump was discovered during a routine 15-month checkup. She was on the border of stages II and III, so we were able to have 80% of her liver removed and a steady diet of chemo seems to have taken care of anything that was left. There were some setbacks and fears that the cancer had returned, but we are reasonably confident now that she will reach the target of 2+ years of remission in April. At that point, you will be able to hear the sigh of relief from miles away.

    It is a frightening experience, as you know, and you will never feel more powerless. Fortunately, the docs seem to have a very good understanding of how to treat the disease. I hope your experience is as relatively easy (it’s amazing the perspective you get when you spend time around other families who are dealing with cancers that are far worse) and straightforward as ours.

    One thing that you may also appreciate knowing is that Noah looks young enough that, like Alexandra, he will have no recollection at all of what he is going through. She likes to show off the “smile” on her stomach, and although she knows nobody else has one, she never asks where it came from or why she has it. We’ll cross that bridge when we come to it, but the resilience of small children who don’t know how bad they have it provides a great deal of strength to their struggling parents.

    Again, I wish you the best, and good luck during this difficult time.

    Rob

  4. Crystal and Doug,
    You are in my thoughts and prayers! I am so sorry to hear about Noah, but I am sure he will fight this battle and win! If you all need anything at all please let me know wheter it’s dinner or babysitter….anything I would be more than happy to help.

  5. I just wanted to let you guys know that our prayers are with you and if you need anything at all to let us know. Keep the faith, God does wonderous things for those who have the faith and prayers that you guys have.

  6. We pray every day for Noah and his family.


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