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Imaging features of adrenal gland masses in the pediatric population

  • Special Section: Distinguished Papers from JSAR
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Abstract

The spectrum of adrenal masses in the pediatric population markedly differs from that in the adult population. Imaging plays a crucial role in detecting adrenal masses, differentiating malignant from benign lesions, recognizing extra-adrenal lesions in the suprarenal fossa, and directing further management. Ultrasound is the primary imaging modality of choice for the evaluation of adrenal masses in the neonatal period, whereas MRI or CT is used as a problem-solving tool. In older children, computed tomography or magnetic resonance imaging is often required after initial sonographic evaluation for further characterization of a lesion. Herein, we discuss the salient imaging features along with pathophysiology and clinical features of pediatric adrenal masses.

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Author information

Authors and Affiliations

  1. The University of Texas MD Anderson Cancer Center, 1515 Holocombe Blvd, Houston, TX, 77030, USA

    Abdelrahman K. Hanafy, Bilal Mujtaba, Khaled M. Elsayes & Ajaykumar C. Morani

  2. Department of Diagnostic Radiology, Baylor College of Medicine, Houston, TX, USA

    Alicia M. Roman-Colon

  3. Department of Radiology, Texas Children’s Hospital, Houston, TX, USA

    Alicia M. Roman-Colon

  4. Department of Pediatrics – Patient Care, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0087, Houston, TX, 77030-4009, USA

    Douglas Harrison

  5. Department of Anatomic Pathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA

    Nisha S. Ramani

  6. Department of Endocrine Neoplasia, & Hormonal Disorders, University of Texas MD Anderson Cancer Center, 1515 Holocombe Blvd, Houston, TX, 77030, USA

    Steven G. Waguespack

Authors
  1. Abdelrahman K. Hanafy
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  2. Bilal Mujtaba
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  3. Alicia M. Roman-Colon
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  4. Khaled M. Elsayes
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  5. Douglas Harrison
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  6. Nisha S. Ramani
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  7. Steven G. Waguespack
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  8. Ajaykumar C. Morani
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Corresponding author

Correspondence to Ajaykumar C. Morani.

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Hanafy, A.K., Mujtaba, B., Roman-Colon, A.M. et al. Imaging features of adrenal gland masses in the pediatric population. Abdom Radiol 45, 964–981 (2020). https://doi.org/10.1007/s00261-019-02213-x

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