Neurology · 1998 · 49 citations · 4 references
MedicinePediatricsRadiologyDiagnostic ImagingDiagnostic RadiologyPediatric RadiologyLiver ImagingPediatric ImagingPediatric Liver DiseasePediatric Spinal DysraphismBenign DiagnosisDiagnostic Imaging In VasculitisLiver AbnormalitiesMagnetic ResonancePediatric Hepatic PathologyPediatric Hepatobiliary DisordersPediatric Magnetic Resonance ImagingPediatric Tumor Imaging
<h3>Introduction</h3> Congenital tumours in infants are a diverse group and require a differentiated approach for treatment. Visual diagnostic tests as magnetic resonance (MRI) and x-ray computed (CT) tomography improve the quality of medical care for children of this group. <h3>Purpose</h3> To study the distribution of congenital tumours in infants and to evaluate the role of MRI/CT in the accurate diagnosis of this pathology. <h3>Materials and methods</h3> The study involved 126 children with previously identified on ultrasound of congenital tumours (92 children) and suspected disorders (34 children). The age of the children ranged from 1 day to 9 months. MRI was performed in 118, CT – 23 children, the combined use of MRI and CT in 15 children. <h3>Results</h3> In 49% cases had tumours in the structure of congenital abnormalities, including spinal/cranial dysraphism (31%) and cysts of internal organs (18%) – liver, kidney, pancreas, and mesentery. Benign tumours accounted for 37%: 24% vascular (hemangioma and lymphangioma), and 11% of teratomas; in 3 child (2%) – neuroma. Congenital malignant tumours have a low prevalence (7%) – neuroblastoma and nephroblastoma. In 9 children (7%) changes in non-neoplastic aetiology (inflammatory and other processes) were diagnosed. <h3>Conclusion</h3> MRI and CT allows you to specify the diagnosis and determine the tactics for management for infants with suspected congenital tumour.
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