Tumors of the Pediatric Chest

Chapter
First Online:
Part of the Radiology Illustrated book series (RADILL)

Abstract

A wide spectrum of malignant and benign diseases can present in children as tumors involving the chest. Thoracic tumors are classified according to where they originate in the three major compartments within the chest, i.e., the lung parenchyma, mediastinum, and the chest wall. Lung tumors are relatively rare in children. The majority of mediastinal and chest wall tumors in children are malignant. The imaging evaluation of children with these tumors usually begins with a chest radiograph. Cross-sectional imaging with computed tomography (CT) and/or magnetic resonance imaging (MRI) allows narrowing of the differential diagnosis of pediatric chest masses by defining the origin and tissue characteristics. For pulmonary lesions seen on plain radiographs, the next imaging is usually CT, which may reveal endobronchial lesions, better define the lesion location, and detect additional lesions. Contrast-enhanced CT is also the primary cross-sectional imaging modality used for better definition of both the anatomic compartment of mediastinal mass and its relationship to vital structures. MRI is the preferred examination for evaluating possible intraspinal extension of a posterior mediastinal mass or of suspected vascular lesions

Keywords

Chest Wall Germ Cell Tumor Ewing Sarcoma Mediastinal Mass Primitive Neuroectodermal Tumor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. Ablin DS, Michel Azouz E, et al. Large intrathoracic tumors in children: imaging findings. AJR Am J Roentgenol. 1995;165:925–34.PubMedCrossRefGoogle Scholar
  2. Daldrup HE, Link TM, Wortler K, et al. MR imaging of thoracic tumors in pediatric patients. AJR Am J Roentgenol. 1998;170:1639–44.PubMedCrossRefGoogle Scholar
  3. Franken EA, Smith JA, Smith WL. Tumors of the chest wall in infants and children. Pediat Radiol. 1977;6:13–8.PubMedCrossRefGoogle Scholar
  4. Gwyther SJ, Hall CM. Mesenchymal hamartoma of the chest wall in infancy. Clin Radiol. 1991;43:24–5.PubMedCrossRefGoogle Scholar
  5. Kim TS, Han J, Kim GY, et al. Pulmonary inflammatory pseudotumor (inflammatory myofibroblastic tumor): CT features with pathologic correlation. J Comput Assist Tomogr. 2005;29:633–9.PubMedCrossRefGoogle Scholar
  6. McCahon E. Lung tumours in children. Pediatr Respir Rev. 2006;7:191–6.CrossRefGoogle Scholar
  7. McHugh K. Chest tumours other than lymphoma. In: Lucaya J, Strife JL, editors. Pediatric chest imaging. 2nd revised ed. New York: Springer; 2008.Google Scholar
  8. Merten DF. Diagnostic imaging of mediastinal masses in children. AJR Am J Roentgenol. 1992;158:825–32.PubMedCrossRefGoogle Scholar
  9. Meyer JS, Nicotra JJ. Tumors of the pediatric chest. Sem Roentgenol. 1998;33:187–98.CrossRefGoogle Scholar
  10. Meza MP, Benson M, Slovis TL. Imaging of mediastinal masses in children. Radiol Clin North Am. 1993;31:583–604.PubMedGoogle Scholar
  11. Naffaa LN, Donnelly LF. Imaging findings in pleuropulmonary blastoma. Pediatr Radiol. 2005;35:387–91.PubMedCrossRefGoogle Scholar
  12. Ranganath SH, Lee EY, Restrepo R, et al. Mediastinal masses in children. AJR Am J Roentgenol. 2012;198:W197–216.PubMedCrossRefGoogle Scholar
  13. Whitten CR, Khan S, Munneke GF, et al. A diagnostic approach to mediastinal abnormalities. Radiographics. 2007;27:657–71.PubMedCrossRefGoogle Scholar
  14. Williams HJ, Alton HM. Imaging of paediatric mediastinal abnormalities. Pediatr Respir Rev. 2003;4:55–66.CrossRefGoogle Scholar
  15. Winer-Muram HT, Kauffman WM, Gronemeyer SA, et al. Primitive neuroectodermal tumors of the chest wall (Askin tumors): CT and MR findings. AJR Am J Roentgenol. 1993;161:265–8.PubMedCrossRefGoogle Scholar
  16. Wyttenbach R, Vock P, Tschappeler H. Cross-sectional imaging with CT and/or MRI of pediatric chest tumors. Eur Radiol. 1998;8:1040–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of RadiologyThe Catholic University of Korea, Yeouido St. Mary’s HospitalSeoulKorea

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