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对6岁及以下儿童进行肿瘤的超声筛查。

Ultrasound screening for neoplasms in children up to 6 years old.

作者信息

Jedrzejewski Grzegorz, Wozniak Magdalena M, Pawelec Agata, Matera Albert, Kunach Magdalena, Madej Tomasz, Wieczorek Andrzej P, Nowakowska Katarzyna

机构信息

Department of Pediatric Radiology, Medical University of Lublin, Lublin Ronald McDonald Foundation, Warsaw, Poland.

出版信息

Medicine (Baltimore). 2016 Oct;95(42):e5124. doi: 10.1097/MD.0000000000005124.

Abstract

The aim of the ultrasound (US) screening program was to detect neoplastic lesions in children, together with other pathologies of the developmental age in the area of the neck, abdomen, female pelvis, and scrotum in boys.US screening scans, including cervical, abdominal, pelvical, and scrotal US, were performed in the population of asymptomatic children aged from 9 months to 6 years. The children were scanned in Mobile Pediatric US Unit, consisting of 2 independent consulting rooms.The scans of 14,324 children were analyzed, 7247 boys and 7077 girls. Totally 42,538 US examinations were performed, including 14,187 cervical scans, 14,259 abdominal scans, 6942 female pelvical scans, and 7150 scrotal scans. Totally 5426 abnormalities were detected, which represent 12.7% of all examinations and 30% of patients. Three tumors were recognized, which are renal malignant tumor diagnosed as Wilms tumor, neurogenic tumor of the rib, and teratoma of the testis.US screening in pediatric population can be used to reveal lesions inaccessible to clinical examination, like tumors or other pathologies of developmental age before the onset of clinical symptoms. Due to the large number of detected abnormalities it should be recommended to the whole population of certain age.

摘要

超声(US)筛查项目的目的是在儿童中检测肿瘤性病变,以及颈部、腹部、女性盆腔和男孩阴囊区域发育年龄的其他病理情况。对9个月至6岁的无症状儿童进行了包括颈部、腹部、盆腔和阴囊超声的US筛查扫描。这些儿童在由2个独立咨询室组成的移动儿科超声检查单元中接受扫描。分析了14324名儿童的扫描结果,其中男孩7247名,女孩7077名。总共进行了42538次超声检查,包括14187次颈部扫描、14259次腹部扫描、6942次女性盆腔扫描和7150次阴囊扫描。总共检测到5426处异常,占所有检查的12.7%和患者的30%。识别出三种肿瘤,分别是诊断为肾母细胞瘤的肾恶性肿瘤、肋骨神经源性肿瘤和睾丸畸胎瘤。儿科人群的US筛查可用于发现临床检查难以触及的病变,如临床症状出现前的肿瘤或发育年龄的其他病理情况。由于检测到大量异常,应向特定年龄的全体人群推荐该筛查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/583f/5079325/536a705fbde8/medi-95-e5124-g001.jpg

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