LIVER & HEART - Hepatoblastoma with a secondary deposit on the mitral valve

The specimen shows portion of liver which is not cirrhotic, but does contain a fairly sharply demarcated nodular tumour mass in which there are areas of haemorrhage. The heart shows fungating tumour on one cusp of the mitral valve.
This woman presented at the age of 18 years with a four-month history of thrombophlebitis migrans. At autopsy the tumour was demonstrated to be a hepatoblastoma with secondary deposits on the mitral valve; microscopy of other organs showed widespread lymphatic permeation.