Article Sidebar
Views PDF: 134
The 128 MSCT imaging differentiations of retroperitoneal extra-renal masses in children
Main Article Content
Abstract
SUMMARY
Perpose: Find out the differrentiation of 128 MSCT characteristics of retroperitoneal extra-renal mass in children
Material and methods: we had 128 MSCT images of 67 children patients in National Children’s hospital from January 2018 to April
2019 with pathologically proven of the retroperitoneal extra-renal masses. The patients was divided into 9 groups: neuroblastoma and
ganglioneuroblastoma (n=42), Adrenal non-tumorigentic masses (n = 8 ), teratoma (n = 8), ganglioneuroma (n = 3), hemangioma (n = 1), neurofibroma (n = 1), rhadomyosarcoma (n = 1), undifferentiated pleomorphic sarcoma (n=1), pheochromocytoma (n = 1), york sac tumor (n = 1). We retrospectively reviewed the CT images of 67 children patients to find out the imaging differrentiation compared the enhancement level variations between groups and the enhancing of masses with muscle, liver, spleen.
Results: Age of all groups is from 3 days to 11 years, the age of adrenal non-tumorigentic masses is lowest. No statitistically significant
different between male and female in retro-peritoneal extra-renal masses. Diameter of adrenal non-tumorigenntic group is smallest. Neuroblastomas, teratomas, geminoma and sarcoma are usually large. Encasement of
vessel, calcification, abdominal lymph nodes and far metastasis findings are common signs in neuroblastoma and ganglioneuroblastoma group. Fatty and calcified CT findings are common in teratoma group. There are
statitistically significant different enhancement level variation between groups. If the enhancing of the masses was lower than the muscle,
these are usually benign. If the enhancement of the masses was higher than the muscle and lower than spleen, it can be benign or malignant,
neuroblastoma is very common in this level. Hemangioma enhancement is higher than spleen.
Conclusions: There are differrentiations of 128 MSCT characteristics of retro-peritoneal extra renal masses in children.
Article Details
Keywords
retro-peritoneal extra-renal masses, multiple slices computer tomography (MSCT)
References
1. Matos, M.D.R., et al.(2011), Retroperitoneal masses in children - beyond neuroblastomaand Wilms tumor. Eur J Radiol, p. 1-20.
2. Brossard, J., M.L. Bernstein, and B. Lemieux (1996).Neuroblastoma: an enigmatic disease. Br Med Bull.
52(4): p. 787-801.
3. Evans, A.E., et al (1987). Prognostic factor in neuroblastoma. Cancer. 59(11): p. 1853-9.
4. Papaioannou, G. and K. McHugh, (2005).Neuroblastoma in childhood: review and radiological findings. Cancer Imaging. 5: p. 116-27.
5. Pham, T.H., et al.(2007), Retroperitoneal sarcomas in children: outcomes from an institution. J Pediatr Surg. 42(5): p. 829-33.
6. Xu, Y., et al. (2010).CT characteristics of primary retroperitoneal neoplasms in children. Eur J Radiol. 75(3): p. 321-8.
7. Radin, R., et al. (1997).Adrenal and extra-adrenal retroperitoneal ganglioneuroma: imaging findings in 13 adults. Radiology. 202(3): p. 703-7.
8. Scherer, A., et al. (2001), Imaging diagnosis of retroperitoneal ganglioneuroma in childhood. Pediatr Radiol. 31(2): p. 106-10.
9. Mut, D.T., et al. (2016), Diagnostic imaging findings of pelvic retroperitoneal ganglioneuroma in a child: a case report with the emphasis on initial ultrasound findings. Med Ultrason. 18(1): p. 120-2.
10. Mack, T.M. (1995).Sarcomas and other malignancies of soft tissue, retroperitoneum, peritoneum, pleura, heart, mediastinum, and spleen. Cancer. 75(1 Suppl): p. 211-44.
11. McHugh, K. and J. Pritchard (2001).Problems in the imaging of three common paediatric solid tumours. Eur J Radiol. 37(2): p. 72-8.