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 Radioljournal_title
Pediatric radiologyauthors
Gnanasambandam S,Olsen ØEdoi
10.1007/s00247-005-0053-6keywords:
subject
Has Abstractpub_date
2006-03-01 00:00:00pages
213-5issue
3eissn
0301-0449issn
1432-1998journal_volume
36pub_type
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