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Table 1 Case reports of patients with sialoblastoma and hepatoblastoma.

Aggressive Behavior In Schools: A Literature Review

Hepatoblastoma, pancreatoblastoma, germ-cell tumors, and sialoblastoma are among the embryonal tumors associated with elevated AFP levels. In our case, the AFP levels were increased because the patient had two of these tumors. The cooccurrence of two synchronous embryonal and AFP-producing tumors is extremely rare, and further knowledge is necessary to define the best approach and treatment Aggressivw in these patients.

Conclusion Our case presented with two embryonal tumors, which makes it of clinical and prognostic interest showing that when sialoblastoma is diagnosed, synchronous cooccurrence of hepatoblastoma should be ruled out.

Case Reports in Pathology

The very high AFP levels warrant evaluation of the abdomen to search for a liver tumor. Proliferation fraction Ki67 should be evaluated as a possible predictive factor for tumor relapse or metastasis. Timely management by a multidisciplinary team is essential in these difficult cases.

Aggressive Behavior In Schools: A Literature Review

Outcome of the patient was good at the time of this report. Conflicts of Interest The authors declare no conflict of interests. Acknowledgments We would like to thank Hospital Austral for the support of the study and Janneke Deurloo for the assistance in technical editing of the manuscript.

References G. Vawter and M. View at: Google Scholar G. El-Naggar, C. JKC, J. Grandis, T. Takata, and P. Slootweg, Eds. Alaggio, M. Choudhary, S. Krishanan, S. Panda, R. Rajeev, R. Sivakumar, and V. Huh, H. Choi, S. Kim, S. Lee, S. Lim, and M. View at: Google Scholar S. Reviiew, M. Solomon, and J.]

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