Patients who are systemically ill require admission for further evaluation and management Those with minimal or no symptoms from the mass and no metabolic disturbances may be discharged to the care of a pediatric oncologist for further workup as an outpatient TUMORS OF THE HEPATOBILIARY TREE Goals of Treatment The most critical decision making and care in the ED is the differentiation of emergent from nonemergent Most patients with newly diagnosed liver tumors in the ED can be managed as outpatients with close subspecialty follow-up