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Published on: December 19, 2017
Imaging palpable tumors in pediatrics
D Llanos1, Í de la Pedraja1, L Campos2
1Servicio de Radiodiagnóstico, Hospital Universitario Clínico San Carlos, Madrid, Spain.
Insights
Pediatric palpable tumors are common, with most being benign. Ultrasonography is key for diagnosing these lesions, avoiding unnecessary invasive tests and ensuring timely treatment for serious conditions.
Area of Science:
- Pediatric Radiology
- Diagnostic Imaging
- Oncology
Background:
- Palpable tumors in children present a unique diagnostic challenge compared to adults.
- The differential diagnosis for pediatric masses is extensive and often involves rare etiologies.
- Most childhood palpable lesions are benign, with malignancy estimated at only 1%.
Purpose of the Study:
- To review the clinical and radiological characteristics of common pediatric palpable lesions.
- To highlight key features for accurate diagnosis of childhood tumors.
- To guide radiologists in differentiating benign from malignant pediatric masses.
Main Methods:
- Review of clinical presentations of pediatric palpable tumors.
- Analysis of ultrasonography findings for common pediatric lesions.
- Correlation of imaging characteristics with histopathological diagnoses.
Main Results:
- Ultrasonography is the primary, cost-effective, and safe imaging modality for pediatric palpable masses.
- Characteristic imaging features aid in distinguishing common benign pediatric tumors.
- Accurate diagnosis prevents unnecessary invasive procedures and treatment delays.
Conclusions:
- Understanding common pediatric palpable lesions improves diagnostic accuracy.
- Ultrasonography plays a crucial role in the initial evaluation of childhood tumors.
- Timely and correct diagnosis ensures appropriate management for pediatric patients.
Abstract:
Palpable tumors in children are a common reason for consulting a radiologist. The differential diagnosis is extensive and considerably different from that used in adults. Some of the etiologies of palpable tumors are little known outside of pediatrics. The most commonly used imaging test is ultrasonography, because in addition to being harmless and cost-effective, it is conclusive in most cases. Most palpable lesions in children are benign; it is estimated that only 1% are malignant. Knowing these lesions enables the correct diagnosis without the need to resort to unnecessary, sometimes invasive tests, thus avoiding delays in treatment when more severe disease is present. This article aims to review the clinical and radiological characteristics of the palpable lesions that are most common in pediatric patients, explaining the key features that enable accurate diagnosis.
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