Department of Radiology, Seattle Children's Hospital and University of Washington, 4800 Sand Point Way Northeast, Seattle, WA 98105, USA.
Department of Radiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Radiol Clin North Am. 2022 Jan;60(1):113-129. doi: 10.1016/j.rcl.2021.08.008.
Pediatric abdominal masses are commonly encountered in the pediatric population, with a broad differential diagnosis that encompasses benign and malignant entities. The primary role of abdominal imaging in the setting of a suspected pediatric abdominal mass is to establish its presence, as nonneoplastic entities can mimic an abdominal mass, and to identify characteristic imaging features that narrow the differential diagnosis. In the setting of a neoplasm, various imaging modalities play an important role to characterize the mass, stage extent of disease, and assist in presurgical planning. The purpose of this article is to discuss a practical imaging algorithm for suspected pediatric abdominal masses and to describe typical radiological findings of the commonly encountered abdominal masses in neonates and children with emphasis on imaging guidelines and recommendations.
小儿腹部肿块在儿科人群中很常见,其广泛的鉴别诊断包括良性和恶性病变。在疑似小儿腹部肿块的情况下,腹部影像学的主要作用是确定其存在,因为非肿瘤性病变也可能表现为腹部肿块,并识别出有助于缩小鉴别诊断的特征性影像学特征。在肿瘤的情况下,各种影像学方法在对肿块进行特征描述、疾病分期程度以及协助术前计划方面发挥着重要作用。本文的目的是讨论一种用于疑似小儿腹部肿块的实用影像学算法,并描述新生儿和儿童常见腹部肿块的典型影像学表现,重点介绍影像学指南和建议。