Benign paediatric liver tumours: The radiological maze demystified.

The trajectory from the clinical identification of a benign liver mass to establishing a precise diagnosis is perplexing and arduous. Related contributory factors are that such lesions are encountered infrequently and that there is a nonavailability of dedicated paediatric radiologists in the develo...

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Publicado en:South African Journal of Radiology Vol. 28; no. 1; pp. 1 - 12
Autores principales: Sherwani, Poonam, Kandasamy, Devasenathipathy, Sharma, Raju, Goel, Prabudh, Jana, Manisha, Krishnan, Nellai
Formato: algorithm diagnostic images review tables/charts Journal Article
Publicado: African Online Scientific Information System PTY LTD 2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Benign paediatric liver tumours: The radiological maze demystified.
      aug:
        au:
          Sherwani, Poonam
          Kandasamy, Devasenathipathy
          Sharma, Raju
          Goel, Prabudh
          Jana, Manisha
          Krishnan, Nellai
        affil: Department of Radiodiagnosis, All India Institute of Medical Sciences, Rishikesh, India
      sug:
        subj:
          Liver Neoplasms Classification
          Liver Neoplasms Diagnosis
          Diagnostic Imaging
          Child
          Liver Neoplasms Symptoms
          Disease Attributes
          Tumor Markers, Biological
          Diagnosis, Differential
          Ultrasonography
          Magnetic Resonance Imaging
          Tomography, X-Ray Computed
          Biopsy
          Hemangioma
          Hamartoma
          Child: 6-12 years
      ab: The trajectory from the clinical identification of a benign liver mass to establishing a precise diagnosis is perplexing and arduous. Related contributory factors are that such lesions are encountered infrequently and that there is a nonavailability of dedicated paediatric radiologists in the developing world. The objective of this study was to review the spectrum of benign liver lesions in children and their typical imaging features. Cross-sectional imaging of all paediatric patients (< 18 years) with liver lesions (single and multiple) performed in the institute from 01 January 2018 to 01 January 2019 as well as those acquired at outside institutions and referred to the institute for management was included. Ultrasound was done as the first line of investigation in all the cases with suspicious liver masses and retrospectively performed in referral cases in whom CT or MRI was already done. Images were analysed by two senior radiologists. Most of the cases were diagnosed based on clinical, biochemical and imaging findings, and biopsy was only performed in equivocal cases. Most of the benign liver lesions in the paediatric age group were hepatic haemangioma and mesenchymal hamartomas. A simplified clinical-radiologic paradigm should be established for benign liver lesions in children to assist in reaching the correct diagnosis. Contribution: The article demonstrates the salient radiological findings of various benign liver lesions in the paediatric age group and the role of demographic, clinical and biochemical findings, which plays a substantial role in the diagnosis and avoids unnecessary biopsies.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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