Skip to main content

Advertisement

Log in

CT imaging of mass-like renal lesions in children

  • Pictorial Essay
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Mass-like renal lesions in children occur in a diverse spectrum of conditions including benign and malignant neoplasm, infection, infarction, lymphatic malformation, and traumatic injury. Although mass-like renal lesions can sometimes be suspected on plain radiographs and evaluated with US in children, subsequent CT is usually performed for the confirmation of diagnosis and further characterization. The purpose of this pictorial essay was to review the CT imaging findings of both common and uncommon mass-like renal lesions in pediatric patients. Understanding the characteristic CT appearance of mass-like renal lesions in children enables an accurate diagnosis and optimizes patient management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21
Fig. 22
Fig. 23
Fig. 24
Fig. 25
Fig. 26

Similar content being viewed by others

References

  1. Siegel MJ (1999) Pediatric body CT. Lippincott Williams & Wilkins, Philadelphia, pp 226–252

    Google Scholar 

  2. Lowe LH, Isuani BH, Heller RM et al (2000) Pediatric renal masses: Wilms tumor and beyond. Radiographics 20:1585–1603

    PubMed  CAS  Google Scholar 

  3. Donnelly LF (2005) Diagnostic imaging: pediatrics. Amirsys, Salt Lake City, pp 58–60

    Google Scholar 

  4. Vazquez JL, Barnewolt CE, Shamberger RC et al (1998) Ossifying renal tumor of infancy presenting as a palpable abdominal mass. Pediatr Radiol 28:454–457

    Article  PubMed  CAS  Google Scholar 

  5. Wootton-Gorges SL, Thomas KB, Harned RK et al (2005) Giant cystic abdominal masses in children. Pediatr Radiol 35:1277–1288

    Article  PubMed  Google Scholar 

  6. Yaqoob N, Ahmed Z, Jafri N et al (2003) Renal teratoma: a rare entity. J Pak Med Assoc 53:492–493

    PubMed  CAS  Google Scholar 

  7. Mochizuki K, Ohno Y, Tokai Y et al (2006) Congenital intrarenal teratoma arising from a horseshoe kidney. J Pediatr Surg 41:1313–1315

    Article  PubMed  Google Scholar 

  8. Han TI, Kim MJ, Yoon HK et al (2001) Rhabdoid tumour of the kidney: imaging findings. Pediatr Radiol 31:233–237

    Article  PubMed  CAS  Google Scholar 

  9. Blitman NM, Berkenblit RG, Rozenblit AM et al (2005) Renal medullary carcinoma: CT and MRI features. AJR 185:268–272

    PubMed  Google Scholar 

  10. Pickhardt PJ, Fisher AJ, Balfe DM et al (1999) Desmoplastic small round cell tumor of the abdomen: radiologic-histopathologic correlation. Radiology 210:633–638

    PubMed  CAS  Google Scholar 

  11. Egloff AM, Lee EY, Dillon JE et al (2005) Desmoplastic small round cell tumor of the kidney in a pediatric patient: sonographic and multiphase CT findings. AJR 185:1347–1349

    Article  PubMed  Google Scholar 

  12. Antoneli CB, Costa CM, de Camargo B et al (1998) Primitive neuroectodermal tumor (PNET)/extraosseous Ewing sarcoma of the kidney. Med Pediatr Oncol 30:303–307

    Article  PubMed  CAS  Google Scholar 

  13. Perer E, Shanberg AM, Matsunaga G et al (2006) Laparoscopic removal of extraosseous Ewing’s sarcoma of the kidney in a pediatric patient. J Laparoendosc Adv Surg Tech A 16:74–76

    Article  PubMed  Google Scholar 

  14. Quinn FM, Dick AC, Corbally MT et al (1999) Xanthogranulomatous pyelonephritis in childhood. Arch Dis Child 81:482–496

    Article  Google Scholar 

  15. Kim J (2001) US and CT findings of xanthogranulomatous pyelonephritis. Clin Imaging 25:118–121

    Article  PubMed  CAS  Google Scholar 

  16. Levy AD, Cantisani V, Miettinen M (2004) Abdominal lymphangiomas: imaging features with pathologic correlation. AJR 182:1485–1491

    PubMed  Google Scholar 

  17. Farb JB, Lee EY (2006) Clinical image. Infiltrative renal lymphangioma in a pediatric patient. Pediatr Radiol 36:718

    Article  PubMed  Google Scholar 

  18. Harris AC, Zwirewich CV, Lyburn ID et al (2001) CT findings in blunt renal trauma. Radiographics 21 Spec No:S201–S214

    PubMed  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported in part by a GE-AUR research award, a Society of Thoracic Radiology research grant, and a Society for Pediatric Radiology research fellow grant (E.Y.L.).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edward Y. Lee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, E.Y. CT imaging of mass-like renal lesions in children. Pediatr Radiol 37, 896–907 (2007). https://doi.org/10.1007/s00247-007-0548-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-007-0548-4

Keywords

Navigation