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Pediatric Radiology

, Volume 12, Issue 3, pp 139–143 | Cite as

CT in the staging of children with malignant tumours

  • K. Damgaard-Pedersen
  • M. Yssing
  • K. Mauritzen
Originals

Abstract

The application of CT whole-body scanning as an adjunct in the staging investigations was evaluated in 56 children with various types of extracranial solid malignant tumours. CT proved to be superior to conventional films in the detection of pulmonary or pleural dissimination. The abdominal lymph nodes were difficult to evaluate by CT, and abnormal nodes could only be diagnosed when they were unequivocally enlarged. The role of CT in the detection of liver metastases could not be established in this study due to the rare occurrence of liver involvement. CT seemed to be a valuable method in the prediction of the operability of the primary tumour, but seemed to have an inability to show local invasiveness of the tumour.

CT is an important supplement to conventional, noninvasive methods in the staging of these patients because CT is able to detect otherwise undetectable dissimination and this results in an improved therapeutic approach in individual cases.

Key words

Computerized tomography CT whole-body scanning Staging investigations Pediatric oncology 

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References

  1. 1.
    Berger PE, Kuhn JP, Munschauer RW (1978) Computed tomography and ultrasound in the diagnosis and management of neuroblastoma. Radiology 128:663Google Scholar
  2. 2.
    Berger PE, Munschauer RW, Kuhn JP (1980) Computed tomography and ultrasound of renal and perirenal diseases in infants and children. Pediatr Radiol 9:91Google Scholar
  3. 3.
    Bloom HJG, Lemerle J, Neidhardt MK, Voûte PA (1975) Cancer in children. UICC. Springer Verlag, Berlin Heidelberg New York, pp 138–148Google Scholar
  4. 4.
    Boldt DW, Reilly BJ (1977) Computed tomography of abdominal mass lesions in children. Radiology 124:371Google Scholar
  5. 5.
    Bullimore JA, Jones B, Davies ER, Shandell Y (1979) Computed tomography as an aid to staging and management of childhood malignancy. Excerpta Med Sect 7:24Google Scholar
  6. 6.
    Castellino RA, Bellani FF, Gasparini M, Terno G, Musumeci R (1975) Lymphography in childhood: six years experience with 242 cases. Lymphology 8:74Google Scholar
  7. 7.
    Damgaard-Pedersen K, Jensen J, Hertz H (1978) CT whole-body scanning in pediatric radiology. Pediatr Radiol 6:222Google Scholar
  8. 8.
    Damgaard-Pedersen K, Edeling CJ, Hertz H (1979) CT whole-body scanning and scintigraphy in children with malignant tumours. Pediatr Radiol 8:103Google Scholar
  9. 9.
    Damgaard-Pedersen K, Ovist T (1980) Pediatric pulmonary CT-scanning. Anaesthesia-induced changes. Pediatr Radiol 9: 145Google Scholar
  10. 10.
    Damgaard-Pedersen K (1980) CT and IVU in the diagnosis of Wilms' tumour. Pediatr Radiol 9:207Google Scholar
  11. 11.
    Dunnick NP, Parker BR, Castellino RA (1977) Pediatric lymphography: performance, interpretation, and accuracy in 193 consecutive children. Am J Roentgenol 129:639Google Scholar
  12. 12.
    Fotter R, Sager WD, Justich E, zur Nedden D (1980) Die Bedeutung der Computertomographie in der pädiatrischen Diagnostik abdomineller und pelviner Tumoren. Röntgen-Bl 33: 156Google Scholar
  13. 13.
    Jost RG (1978) Computed tomography of the thorax. Radiology 126:125Google Scholar
  14. 14.
    Lee JKT, Stanley RJ, Sagel SS, McClennan BL (1978) Accuracy of CT in detecting intraabdominal and pelvic lymph node metastases from pelvic cancers. Am J Roentgenol 131:675Google Scholar
  15. 15.
    Muhm JR (1977) Detection of pulmonary nodules by computed tomography. Am J Roentgenol 128:267Google Scholar
  16. 16.
    Leonidas JC, Carter BL, Leape LL, Ramenofsky ML, Schwartz AM (1978) Computed tomography in diagnosis of abdominal masses in infancy and childhood. Arch Dis Child 53:120Google Scholar
  17. 17.
    Redman HC, Glatstein E, Castellino RA, Federal WA (1977) Computed tomography as an adjunct in the staging of Hodgkin's Disease and non-Hodgkin's lymphomas. Radiology 124: 381Google Scholar
  18. 18.
    Reilly BJ (1977) Extracranial computerized tomography in children. Comput Axial Tomogr 1:257Google Scholar
  19. 19.
    Schaner EG, Head GL, Doppman JL, Young RC (1977) Computed tomography in the diagnosis, staging, and management of abdominal lymphoma. J Comput Assist Tomography (Comput Tomogr) 1:2–176Google Scholar
  20. 20.
    SIOP Protocol (1977) Nephroblastoma clinical trial no. 5. International Society of Pediatric OncologyGoogle Scholar
  21. 21.
    Tschäppeler H (1980) Computed tomography (CT) and lymphoma in children. Ann Radiol 23:87Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • K. Damgaard-Pedersen
    • 1
    • 2
    • 3
  • M. Yssing
    • 1
    • 2
    • 3
  • K. Mauritzen
    • 1
    • 2
    • 3
  1. 1.Department of Diagnostic RadiologyRigshospitaletCopenhagenDenmark
  2. 2.Department of Pediatric SurgeryRigshospitaletCopenhagenDenmark
  3. 3.Department of PediatricsRigshospitaletCopenhagenDenmark

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