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Imaging features of pathologically proven pediatric splenic masses
Mitchell W Boehnke1, Christopher T Watterson2, Susan A Connolly3
1Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA. mitchell.boehnke@childrens.harvard.edu.
Pediatric Radiology
|June 5, 2020
Summary
This study analyzes pediatric splenic masses, detailing their prevalence and imaging features. Understanding these findings aids in diagnosing various splenic lesions in children.
Area of Science:
- Pediatric Radiology
- Pathology
- Oncology
Background:
- Splenic masses pose diagnostic challenges in pediatric patients.
- Limited data exists correlating imaging findings with pathology in pediatric splenic masses.
Purpose of the Study:
- To describe imaging findings and lesion prevalence of splenic masses in children.
- To aid radiologists and clinicians in diagnosing pediatric splenic lesions.
Main Methods:
- Retrospective review of splenectomies and splenic biopsies for splenic masses.
- Analysis of 31 splenic masses in patients 18 years and younger over a 10-year period.
Main Results:
- Common lesions included benign splenic cysts (9), vascular anomalies (7), hamartoma (3), leukemia/lymphoma (3), and granulomata (3).
- Metastasis (2) and rare entities like angiosarcoma were also identified.
Conclusions:
- This study provides a comprehensive overview of pediatric splenic mass pathology and imaging characteristics.
- Findings can improve diagnostic accuracy and patient management for splenic lesions in children.
