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Staging and Restaging Pediatric Abdominal and Pelvic Tumors: A Practical Guide
Luisa Leitão de Faria1, Carolina Ponich Clementino1, Felippe Augusto Silvestre E Véras1
1From the Radiology Department, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Rua Dr Ovídio Pires de Campos, 225 Cerqueira César, São Paulo, SP 36070-460, Brazil (L.L.d.F., C.P.C., F.A.S.e.V., D.d.C.K., D.Y.O., M.O.F., L.S.); and Department of Radiology, Boston Childrens Hospital, Harvard Medical School, Boston, Mass (M.A.B.).
This review covers key imaging strategies for diagnosing and staging common pediatric abdominal tumors like neuroblastoma and Wilms tumor. It emphasizes accurate imaging for treatment planning and monitoring patient response.
Area of Science:
- Pediatric Radiology
- Abdominal Oncology
- Diagnostic Imaging
Background:
- Pediatric abdominal malignancies require precise diagnosis and staging.
- Radiologists play a crucial role in identifying tumor characteristics and spread patterns.
- Multidisciplinary teams rely on imaging for treatment planning and prognostication.
Purpose of the Study:
- To provide a practical review of updated key points for diagnosing common pediatric abdominal tumors.
- To outline imaging methods for staging and assessing treatment response.
- To guide radiologists in selecting optimal imaging examinations.
Main Methods:
- Review of current literature and established imaging guidelines.
- Discussion of characteristic imaging findings for prevalent pediatric abdominal tumors.
- Emphasis on staging systems relevant to pediatric oncology (e.g., Ann Arbor, PRETEXT).
Main Results:
- Distinctive imaging findings aid in differentiating pediatric abdominal malignancies.
- Accurate staging through imaging is critical for treatment stratification.
- Consistent imaging evaluation is essential for monitoring therapeutic efficacy.
Conclusions:
- Radiologists must master imaging techniques for diagnosing, staging, and restaging common pediatric abdominal tumors.
- Appropriate imaging selection avoids inconclusive or unnecessary examinations.
- Effective imaging facilitates optimal patient management and prognostication.
