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Fat-containing soft-tissue masses in children.

Elizabeth F Sheybani1,2,3, Eric P Eutsler3, Oscar M Navarro4,5

  • 1Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Pediatric Radiology
|November 21, 2016
PubMed
Summary

Identifying fat in pediatric soft-tissue masses aids diagnosis, often indicating benign conditions. This review details imaging findings for various fat-containing pediatric masses, crucial for accurate diagnosis.

Keywords:
Adipocytic tumorsChildrenFatMagnetic resonance imagingSoft-tissue massesUltrasound

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Area of Science:

  • Pediatric Radiology
  • Medical Imaging
  • Oncology

Background:

  • Soft-tissue masses in children present diagnostic challenges due to nonspecific features.
  • Identifying macroscopic fat is key, often suggesting benign etiology in pediatric patients.
  • Fat detection can be difficult with sonography but is more reliable with MRI, especially with fat-suppression techniques.

Purpose of the Study:

  • To review sonographic and MRI findings of fat-containing soft-tissue masses in children.
  • To aid radiologists in diagnosing pediatric soft-tissue masses by highlighting key imaging characteristics.
  • To differentiate between various benign and malignant fat-containing lesions in the pediatric population.

Main Methods:

  • Review of sonographic and MRI findings for pediatric soft-tissue masses containing macroscopic fat.
  • Categorization of masses based on imaging characteristics and histological findings.
  • Inclusion of adipocytic tumors, fibroblastic/myofibroblastic tumors, vascular anomalies, and miscellaneous entities.

Main Results:

  • Macroscopic fat within a soft-tissue mass significantly narrows the differential diagnosis in children.
  • Adipocytic tumors are common, but other fat-containing entities must be considered.
  • MRI with fat-suppression techniques enhances fat visualization, aiding diagnosis.

Conclusions:

  • Imaging findings, particularly the presence of fat, are critical for diagnosing soft-tissue masses in children.
  • A comprehensive understanding of imaging characteristics across various fat-containing lesions improves diagnostic accuracy.
  • Accurate diagnosis facilitates appropriate management and distinguishes benign from potentially malignant conditions.