Geller Evan, Kochan Polly S
Department of Radiology, St Christopher's Hospital for Children, 3601 A Street, Philadelphia, PA 19134, USA.
Radiol Clin North Am. 2011 Jul;49(4):689-709, vi. doi: 10.1016/j.rcl.2011.05.003.
An abdominal mass in a child in the first year of life is usually of renal origin. The most common renal masses in the perinatal period are nonneoplastic and include hydronephrosis and multicystic dysplastic kidney. With the development of new therapeutic regimens and standardization of treatment protocols, the cure rate for the most common renal neoplasm, Wilms tumor, has risen to more than 90%. This article reviews the role of imaging in the diagnosis, staging, and follow-up of children with renal neoplasms. Pertinent epidemiologic, clinical, and histopathologic considerations are reviewed, and current recommendations for management are presented.
1岁以内儿童的腹部肿块通常起源于肾脏。围产期最常见的肾脏肿块是非肿瘤性的，包括肾积水和多囊性发育不良肾。随着新治疗方案的发展和治疗方案的标准化，最常见的肾肿瘤——肾母细胞瘤的治愈率已升至90%以上。本文综述了影像学在儿童肾肿瘤诊断、分期及随访中的作用。回顾了相关的流行病学、临床和组织病理学因素，并提出了当前的管理建议。
