Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

ABC of Pediatric Surgical ImagingAdrenal Masses (Other than Neuroblastoma)

ABC of Pediatric Surgical Imaging: Adrenal Masses (Other than Neuroblastoma) Surgeon: D. Sidler A Adrenal Masses (Other than Neuroblastoma) Radiologist: R. George Clinical Insights What the Surgeon Needs to Know Adrenal masses in childhood may be Is the tumour clearly originating from the benign or malignant, intra- or extra- adrenal gland? adrenal. What is the size of the lesion? (Larger They may be found incidentally or may lesions suggest malignancy.) be hormonally active and present with: Is the CT attenuation less than 10 HU? - Hypertension Is there an evidence of a primary lesion - Metabolic crises (watery diarrhoea, suggesting the mass is a metastasis? hypokalaemia) - Endocrinopathies (pheochromocytoma) Neuroblastoma accounts for greater than Clinical Diff erential Diagnosis 90% of paediatric adrenal cancers. Neuroblastoma, pheochromocytoma, The primary therapy for most adrenal adrenocortical tumours lesions is surgical excision. Traumatic haemorrhage Laparoscopy has become the surgical Cysts and pseudocysts approach of choice with localized disease. Surgery is indicated if: - A malignancy is suspected. - The tumour is hormonally/metaboli- cally active. Warning Pre-operative and intra-operative control of hypertension in a child with a pheo- chromocytoma is crucial to prevent an intra-operative crisis. US transverse – Hyperechoic acute adrenal haema- S toma (arrow) of the right adrenal gland in a neonate Controversy http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

ABC of Pediatric Surgical ImagingAdrenal Masses (Other than Neuroblastoma)

Editors: Andronikou, Savvas; Alexander, Angus; Kilborn, Tracy; Millar, Alastair J. W.; Daneman, Alan
Sidler, D.; George, R.
Springer Journals — Jan 1, 2010
Download PDF
1 page

Loading next page...
 
/lp/springer-journals/abc-of-pediatric-surgical-imaging-adrenal-masses-other-than-kVAZhtrDHF
Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2010
ISBN
978-3-540-89384-4
Pages
6 –7
DOI
10.1007/978-3-540-89385-1_3
Publisher site
See Chapter on Publisher Site

Abstract

Surgeon: D. Sidler A Adrenal Masses (Other than Neuroblastoma) Radiologist: R. George Clinical Insights What the Surgeon Needs to Know Adrenal masses in childhood may be Is the tumour clearly originating from the benign or malignant, intra- or extra- adrenal gland? adrenal. What is the size of the lesion? (Larger They may be found incidentally or may lesions suggest malignancy.) be hormonally active and present with: Is the CT attenuation less than 10 HU? - Hypertension Is there an evidence of a primary lesion - Metabolic crises (watery diarrhoea, suggesting the mass is a metastasis? hypokalaemia) - Endocrinopathies (pheochromocytoma) Neuroblastoma accounts for greater than Clinical Diff erential Diagnosis 90% of paediatric adrenal cancers. Neuroblastoma, pheochromocytoma, The primary therapy for most adrenal adrenocortical tumours lesions is surgical excision. Traumatic haemorrhage Laparoscopy has become the surgical Cysts and pseudocysts approach of choice with localized disease. Surgery is indicated if: - A malignancy is suspected. - The tumour is hormonally/metaboli- cally active. Warning Pre-operative and intra-operative control of hypertension in a child with a pheo- chromocytoma is crucial to prevent an intra-operative crisis. US transverse – Hyperechoic acute adrenal haema- S toma (arrow) of the right adrenal gland in a neonate Controversy

Published: Jan 1, 2010

Keywords: Adrenal Gland; Adrenal Mass; Primary Therapy; Watery Diarrhoea; Initial Modality

There are no references for this article.