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Published on: June 21, 2024
Magnetic resonance imaging of the pediatric kidney: benign and malignant masses
Michael S Gee1, Mark Bittman, Monica Epelman
1Pediatric Imaging and Abdominal Imaging & Intervention, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Ellison 237, Boston, MA 02114, USA.
Insights
This review covers pediatric renal masses, differentiating benign and malignant tumors from non-neoplastic lesions. It highlights key magnetic resonance imaging and clinical features for accurate diagnosis in children.
Area of Science:
- Pediatric Radiology
- Oncology
- Pathology
Background:
- Renal masses in children present a diagnostic challenge, encompassing tumors and mimics.
- Understanding pediatric-specific renal pathology is crucial for accurate diagnosis.
- Overlap exists with adult renal masses, but unique features are present.
Purpose of the Study:
- To review benign and malignant renal masses in pediatric patients.
- To emphasize magnetic resonance imaging (MRI) features.
- To correlate imaging findings with clinical presentations for each lesion type.
Main Methods:
- Review of literature on pediatric renal masses.
- Focus on characteristic imaging appearances, particularly MRI.
- Correlation with clinical presentations.
Main Results:
- Detailed descriptions of various benign and malignant pediatric renal masses.
- Emphasis on differentiating features on MRI.
- Discussion of non-neoplastic mass-like lesions.
Conclusions:
- Accurate diagnosis of pediatric renal masses requires understanding specific pathologies.
- MRI plays a pivotal role in characterizing these lesions.
- Integration of imaging and clinical data is essential for optimal management.
Abstract:
The differential diagnosis of renal masses in pediatric patients includes benign and malignant tumors, as well as nonneoplastic mass-like lesions mimicking tumors. Although the spectrum of renal masses in children has some overlap with that of adults, it is important to understand the renal pathologic processes specific to the pediatric population, as well as their characteristic imaging appearances and clinical presentations. This article reviews benign and malignant renal masses in children, with an emphasis on magnetic resonance imaging and clinical features that are specific to each lesion type.
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