Uhl M, Herget G, Hettmer S, von Kalle T. [Bone and soft tissue tumours in children : Proposal for a rational diagnostic approach].
Radiologe 2021;
61:649-657. [PMID:
34100121 DOI:
10.1007/s00117-021-00859-7]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2021] [Indexed: 11/26/2022]
Abstract
CLINICAL/METHODOLOGICAL ISSUE
Bone and soft tissue tumours are often incidental findings in children. Because they are usually benign tumours, nonspecialised radiologists generally have little experience in the diagnosis and differentiation from malignant tumours. Various imaging techniques are used in the diagnosis of skeletal tumours.
STANDARD RADIOLOGICAL METHODS
Imaging techniques used to evaluate bone and soft tissue tumours include sonography, computed tomography (CT) and magnetic resonance imaging (MRI).
METHODOLOGICAL INNOVATIONS
An algorithm to determine malignancy of bone and soft tissue tumours in children is proposed.
PERFORMANCE
By using the presented algorithms, further diagnostic procedures such as biopsies can be avoided in the majority of children with bone and soft tissue tumours. Aggressive bone lesions and unclear soft tissue tumours are guided to biopsy to confirm diagnosis.
ACHIEVEMENTS
The algorithms presented are based on the proposals of European professional societies and have been adapted by the authors for use in children and adolescents.
PRACTICAL RECOMMENDATIONS
In the clarification of soft tissue tumours, sonography is the first diagnostic tool; depending on the sonographic findings, MRI is the technique for further clarification. Biopsy confirmation of the diagnosis in unclear cases or in cases of probable malignancy should be carried out in a paediatric oncology centre.
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