Frush D P
Division of Pediatric Radiology, Rm 1905 McGovern-Davison Children's Health Center, Box 3808, Department of Radiology, Duke University Health System, Erwin Road, Durham, North Carolina 27710, USA.
Ann Acad Med Singap. 2003 Jul;32(4):525-35.
A review of mediastinal masses in children is important for several reasons. First, the mediastinum is the common location for thoracic masses in children. Second, the type and frequency of masses differ in children compared with adults. Third, anatomic variations can be misinterpreted as mediastinal masses. Lastly, there are special technical considerations for imaging mediastinal masses in children. This article is derived from a literature review and the author's personal experience with imaging mediastinal masses. Figures are used to illustrate the spectrum of lesions in the anterior, middle and posterior mediastinum in children. Familiarity with the types of masses, frequency of presentation and imaging features are extremely valuable in determining the appropriate subsequent care for the child.
对儿童纵隔肿块进行综述很重要,原因有以下几点。首先,纵隔是儿童胸部肿块的常见部位。其次,与成人相比,儿童肿块的类型和发生率有所不同。第三,解剖变异可能被误诊为纵隔肿块。最后,对儿童纵隔肿块进行成像时存在一些特殊的技术考量。本文源自文献综述以及作者对纵隔肿块成像的个人经验。文中使用了一些图表来说明儿童前纵隔、中纵隔和后纵隔病变的范围。熟悉肿块类型、表现频率及成像特征对于确定儿童后续的适当治疗极为重要。