The pediatric stomach - masses and mass-like pathology
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Updated: Dec 20, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Michael S Furman1, Susan A Connolly2, Stephen D Brown2
1Department of Diagnostic Imaging, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA. furman.m@gmail.com.
Insights
Pediatric gastric masses present diagnostic challenges in imaging. This review covers neoplastic and inflammatory causes, emphasizing cross-sectional imaging findings for radiologists.
Area of Science:
- Pediatric Radiology
- Gastrointestinal Imaging
- Oncology
Background:
- Pediatric gastric masses are uncommon but pose diagnostic difficulties.
- Accurate diagnosis is crucial for appropriate patient management.
- Cross-sectional imaging plays a key role in evaluating these lesions.
Purpose of the Study:
- To review pediatric gastric masses and mass-like lesions.
- To focus on neoplastic and inflammatory etiologies.
- To highlight key imaging findings for radiologists.
Main Methods:
- Review of medical literature on pediatric gastric masses.
- Analysis of imaging characteristics from various modalities.
- Correlation of imaging findings with histopathological diagnoses.
Main Results:
- Discussion of common and rare neoplastic causes (e.g., lymphoma, leiomyosarcoma).
- Presentation of inflammatory conditions mimicking masses (e.g., hypertrophic pyloric stenosis, gastritis).
- Emphasis on differentiating benign from malignant entities based on imaging features.
Conclusions:
- Awareness of diverse etiologies is essential for radiologists.
- Cross-sectional imaging provides critical diagnostic information.
- A systematic approach aids in characterizing pediatric gastric lesions.
Abstract:
Diagnostic imaging of pediatric gastric masses often provides a challenge for the practicing radiologist. Radiologists should be aware of this relatively unusual pathology, particularly in cross-sectional imaging findings. We will review pediatric gastric masses and mass-like lesions, focusing on neoplastic and inflammatory etiologies.
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