Retrospective Study on Ultrasound Patterns ofPediatric Abdominal Mass With Pathologic Correlation in Patients Admitted to Tikur Anbesa Specialized Hospital, Pediatric Surgical Department from 2006-2010, Addis Ababa, Ethiopia
Journal Title: International Journal of Contemporary Research and Review - Year 2017, Vol 8, Issue 11
Abstract
Introduction: Abdominal masses in pediatric patients are common findings& may be caused by congenital anomalies, tumors, trauma, infection or abscess, or by organenlargement. Imaging modality choice is a core issue in the evaluation of pediatric patients.Objective-: The objective of this study is to compare and examine the correlation of B-mode US diagnosis with that of pathological diagnosis of pediatric abdominal masses (PAMs).Methods: A retrospective study conducted on 83 (47 male, 36 female) pediatric abdominal masses (PAM) casesadmitted to TASH, pediatric surgical ward to study the US patterns of PAMs withpathologic correlation to see diagnosis sensitivity of US.Results: All the 83 patients had US evaluation,42(50.6%) of them had both US & biopsydiagnoses, 60(72.3%) have US & FNAC result, 44(53%) had both US & IVP study, 10(12%)had both US & CT study, 8(9.6%) had both CT & Biopsy, 27(32.1%) had IVP & Biopsyresults. When US diagnosis was compared with the final diagnosis, 31 of the 42 cases (74%)including cystic abdominal masses had similar diagnosis with the biopsy. From the 20 casewithfinal diagnosis of wilm’s tumor (WT), 17(85%) were correctly diagnosed by ultrasoundas WT. that showed US sensitivity to be high for WT in particular than PAMs as a whole. When the FNAC, U/S & Biopsy cross tabulation was analyzed, only13 of the 25 cases (52%) of FNAC results matched the biopsy diagnosis but 19 of 25 cases (76%) of U/S diagnosis matched the results of the final diagnosis, making U/S more sensitive than FNAC in the diagnosis of PAMs in our study. Conclusion: -In addition to describing the location, size & consistency of the PAMs, US wasshown to give exact diagnosisin a good percentage of patients in this study. US has far better sensitivity (76% to 52%) in diagnosing PAMs as a whole compared to theFNAC results in the study. So, Ultrasound scanning is a noninvasive method of visualizing thcross sectional anatomic relation of PAMs with a good sensitivity in the diagnosis of thedifferent PAMs which make it especially valuable in pediatric patients, where promptdiagnosis and treatment are essential & radiation exposure risk is a concern.
Authors and Affiliations
Daniel Zewdneh Solomon1, Tequam Debebe2, Shimeles Kerala3, Yocabel Gorfu4
Keywords
Related Articles
- EP ID EP316054
- DOI 10.15520/ijcrr/2017/8/11/350
- Views 46
- Downloads 0
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