Wilms' tumor CT
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Abdominal CT scan may be helpful in the diagnosis of wilms tumor.Findings on CT scan which can be suggestive of wilms tumor include soft-tissue density masses, areas of calcification (~10%) and fat-density regions. CT is better than ultrasonography in detecting small lesions of tumor. CT scan of the chest can be helpful to diagnose lung metastasis.
CT scan
- Abdominal CT scan may be helpful in the diagnosis of wilms tumor.
- Findings on CT scan which can be suggestive of wilms tumor include:[1]
- Heterogeneous soft-tissue density masses
- These masses have frequent areas of calcification (~10%) and fat-density regions
- Lymph node metastasis
- CT scan of the renal mass can further reveal:
- Invasion of surrounding organs
- Thrombus in or occlusion of the renal vein and/or the inferior vena cava
- Abdominal lymph nodes and contralateral involvement
- CT is better than ultrasonography in detecting small lesions of tumor.
- CT scan of the chest can be helpful to diagnose lung metastasis. [2]
- A preoperative CT scan helps to better estimate tumor size and volume and to plan surgical management more successfully.
- It is a useful tool to determine stage based on tumor size and structures involved.[3]
References
- ↑ Cahan LD (1985). "Failure of encephalo-duro-arterio-synangiosis procedure in moyamoya disease". Pediatr Neurosci. 12 (1): 58–62. PMID 4080660.
- ↑ Wilms tumour. Dr Tim Luijkx and Dr Frank Gaillard et al. Radiopaedia.org 2015.http://radiopaedia.org/articles/wilms-tumour
- ↑ Gow KW, Roberts IF, Jamieson DH, Bray H, Magee JF, Murphy JJ (May 2000). "Local staging of Wilms' tumor--computerized tomography correlation with histological findings". J. Pediatr. Surg. 35 (5): 677–9. doi:10.1053/jpsu.2000.5941. PMID 10813321.
- ↑ https://radiopaedia.org/cases/8084
- ↑ Case courtesy of Dr Jeremy Jones, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/8084">rID: 8084</a>