CT in children with abdominal cancer: should we routinely include the pelvis?

Abstract:

BACKGROUND:It has been suggested that the pelvis should not be habitually included on abdominal CT examinations, but the potential benefit of such a practice in childhood abdominal malignancies is unknown. OBJECTIVE:To estimate the yield and potential diagnostic benefit of abnormal findings on CT of the pelvis in children with malignant primary tumours in the upper abdomen. MATERIALS AND METHODS:From a paediatric tertiary referral hospital we retrospectively included patients having abdominal CT for primary upper abdominal tumours (1997-2004), the scan range routinely including the pelvis. We reviewed and tabulated any pelvic abnormality, and calculated group proportions with 95% confidence intervals. RESULTS:We identified 230 children (2 days to 17 years old, median 2.9 years). Six (2.6%; 95% CI 0.5-4.7%) had abnormalities in the pelvis that would not have affected clinical management. Four (1.7%; 95% CI 0.1-3.4%) had findings that might have influenced staging, but only one was not detected by other modalities within 1 week of the CT. CONCLUSIONS:Our data suggest that diagnostically significant findings in the pelvis are rare; consequently, the habitual inclusion of the pelvis on abdominal CT for primary malignant tumours in the abdomen is not justified.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Gnanasambandam S,Olsen ØE

doi

10.1007/s00247-005-0053-6

keywords:

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

213-5

issue

3

eissn

0301-0449

issn

1432-1998

journal_volume

36

pub_type

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