불분명한 소아 복부 종괴: 영상 기반 진단 접근법

Area of Science:

• Abdominal imaging and diagnostics
• Oncology
• Gastroenterology

Background:

• Diagnosis and management of solid organ abdominal masses are straightforward.
• Non-solid organ masses (mesenteric, peritoneal, retroperitoneal, adnexal/ovarian, bowel) present diagnostic challenges due to difficulty in determining the epicenter.
• Percutaneous biopsies of these non-solid organ masses are often technically difficult.

Purpose of the Study:

• To present an algorithmic approach for the diagnosis and management of challenging abdominal masses not originating from solid organs.
• To outline strategies for overcoming diagnostic and interventional difficulties associated with these lesions.

Main Methods:

• Utilizing an algorithmic approach integrating imaging morphology.
• Incorporating patient age as a key diagnostic factor.
• Leveraging results from supportive investigations, including tumor markers.

Main Results:

• The proposed algorithmic approach facilitates the determination of the epicenter for non-solid organ masses.
• This strategy aids in overcoming the difficulties associated with percutaneous biopsies in these locations.
• Effective diagnosis and treatment planning are improved through this integrated approach.

Conclusions:

• An algorithmic diagnostic and management strategy is crucial for non-solid organ abdominal masses.
• Integration of imaging, clinical data, and tumor markers enhances diagnostic accuracy and treatment planning.
• This approach simplifies the management of complex abdominal masses, improving patient outcomes.