Journal of the Korean Pediatric Society 1989;32(3):366-374.
Published online March 31, 1989.
Abdaninal Tumor in Infants and Children.
Young Soo Kim, Kwang Man Kim, Seung Ho Kim, Tae Chan Kwon, Chin Moo Kang
Department of Pediatrics, Keimyung University, School of Medicine, Taegu, Korea
소아 복부 종괴에 대한 고찰
김영수, 김광만, 김성호, 권태찬, 강진무
계명대학교 의과대학 소아과학교실
Received: 28 June 1988   • Accepted: 23 September 1988
Abstract
Eighty seven patints with abdominal tumor which were diagnosed with abdominal C-T scan and confirmed histologically were reviewed. These patients were admitted to pediatric department of Dong San Medical Canter from January, 1980 to June, 1986. The results were as follows; Out of 87 patients, 30 (34.5%) were intraperitoneal and 57 (65.5%) were retroperitoneal tumor. Among intraperitoneal tumor, 15 cases (50%) were hepatosplenomegaly, and among retroperitoneal tumor majorities were hydronephrosis (22 cases), Wilms’ tumor (16 cases) and neuroblastoma (4 cases) in order. The male to female ratio was 2:1 and 59.8% were below 5 years of age. The accuracy of abdominal C-T scan for intraabdominal tumor was 85.1 % and that of ultrasono- graphy was 77.8%. In hydronephrosis, the accuracy of C-T scan and ultrasonography for diagnosis was 90.8% and 82. 4% respectively. In Wilms’ tumor, no difference between the tentative diagnosis with C.T scan or with ultrasonography and the histologic diagnosis was observed. In neuroblastoma, the diagnostic acuracy of C-T scan and ultrasonography was 50% and 100% respectively. For the tentative diagnosis, abdominal C-T scan looks slightly superior to ultrasonography in its acuracy. I.V.P., simple abdominal X-ray, urinary catecholamine level and detection of metastatic organ can be a supportive diagnostic procedure especially for the differential diagnosis between wilms’ tumor and neuroblastoma.
Key Words: Abdominal tumor


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