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Ultrasound of Wilms' tumor

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Abstract

The grey scale ultrasound features of 30 cases of Wilms' tumour examined using a water delay scanner are presented. Eighty-seven percent of masses were of uniform texture, with echogenicity equal to or slightly greater than that of liver with small hypo-echoic areas. There were no totally cystic tumours in the series. In 21 cases the mass was clearly arising from the ipsilateral kidney, but in 9 cases the ipsilateral kidney could not be distinguished from the tumour. The state of the intrahepatic inferior vena cava (IVC) was correctly diagnosed in 27 cases and further evaluation was needed in two patients in whom this segment could not be demonstrated. If this segment is sonographically normal, then the IVC need not be evaluated further. Differential diagnosis is discussed, with particular reference to neuroblastoma. In the majority of patients ultrasound is the only modality needed to diagnose Wilms' tumour pre-operatively.

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References

  1. Banner MP, Pollack HM, Chatten J, Witzleben C (1981) Multilocular renal cysts: radiologic — pathologic co-relation. AJR 136: 239

    CAS  PubMed  Google Scholar 

  2. Berdon WF, Baker DH, Santulli TV (1967) Factors producing spurious obstruction of vena cava in infants and children with abdominal tumours. Radiology 88: 111

    CAS  PubMed  Google Scholar 

  3. Cohn MD, Siddiqvi A, Weetman R, Baehner R, Weber T, Grosfeld TL (1982) A rational approach to the radiological evaluation of children with Wilm's tumour. Cander 50: 887

    Google Scholar 

  4. De Campo MP (1985) Ultrasound diagnosis of abdomino pelvic neuroblastoma. Pediatr Radiol 15: 324

    Article  PubMed  Google Scholar 

  5. Gates GF, Miller JH, Stanley P (1980) Necrosis of Wilm's tumour. Urol 123: 916

    CAS  Google Scholar 

  6. Goldberg BB, Pollack HM, Capitamo MA, Kirkpatrick JA (1975) Ultrasound: an aid to the diagnosis of masses in paediatric patients. Pediatrics 56: 421

    CAS  PubMed  Google Scholar 

  7. Goldstein HM, Green B, Weaver RM (1978) Ultrasound detection of renal tumour extension into inferior vena cava. AJR 130: 1083

    CAS  PubMed  Google Scholar 

  8. Hartman DS, Sander RC (1982) Wilm's tumour versus neuroblastoma. Usefulness of ultrasound differentation. J Ultrasound Med 1: 117

    CAS  PubMed  Google Scholar 

  9. Hunig R, Kinser J (1973) Ultrasound diagnosis of Wilm's tumour. AJR 117: 119

    CAS  Google Scholar 

  10. Jaffe MH, White SJ, Silver TM, Heidelberger KP (1982) Wilm's tumour: ultrasound features, pathological co-relation and diagnosis pitfalls. Radiology 140: 147

    Google Scholar 

  11. Karbousky AM (1981) Wilm's tumour versus neuroblastoma: Can ultrasound decide? Med Ultrasound 6: 155

    Google Scholar 

  12. Kuhn JP, Berger PE (1981) CT of the kidney in infancy and childhood. Radiol Clin North Am, 19: 445

    CAS  PubMed  Google Scholar 

  13. Lang EK (1971) Co-existence of cyst and tumour in same kidney. Radiology 101: 7

    CAS  PubMed  Google Scholar 

  14. Madanat F, Osbourne BM, Cangir A, Sutow WW (1978) Extrarenal Wilm's tumour. J Pediatr 93: 439

    CAS  PubMed  Google Scholar 

  15. Mulhern CB, Arger PH, Coleman BG, Pollack HM, Velchik M, Banner MP (1982) Wilm's tumour: diagnostic therapeutic implications. Urol Radiol 4: 193

    PubMed  Google Scholar 

  16. Seigel MJ, McCalister WH (1980) Simple cyst of the kidney in children. J Urol 123: 75

    Google Scholar 

  17. Schnider M (1981) Paediatrics. In: Goldberg BB (ed) Ultrasound in cancer. Churchill Livingston New York p 115

    Google Scholar 

  18. Shullinger JN, Santulli TV, Casarella WJ, MacMillan RW (1977) Wilm's tumour: role of right heart angiography in management of selected cases. Ann Surg 185: 451

    Google Scholar 

  19. Slovis TL, Cushing B, Reilly BJ, Farouki Z, Philippart AI, Berdon WF, Baker DH, et al (1978) Wilm's tumour to the heart: clinical and radiographic evaluation. AJR 131: 263

    CAS  PubMed  Google Scholar 

  20. Slovis TL, Philippart AI, Cushing B, Laksmmi D, Perlmutter AD, Reed JO, Wilner HI, et al (1981) Evaluation of interior vena cava by synography and venography in children with renal and hepatic tumours. Radiology 140: 767

    CAS  PubMed  Google Scholar 

  21. Teele RL (1977) Ultrasonography of genito-urinary tract in children. Radiol Clin North Am 15: 109

    CAS  PubMed  Google Scholar 

  22. Witten DM, Myers GH, Utz DC (1977) Clin Urography, 4th edn. Saunders, Philadelphia

    Google Scholar 

  23. Wood BP, Muurahainen N, Anderson VM, Ettinger LJ (1982) Multicystic nephroblastoma: ultrasound diagnosis (with pathologic/anatomic commentary). Pediatr Radiol 12: 43

    Article  CAS  PubMed  Google Scholar 

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  1. Radiology Department, Royal Children's Hospital, 3052, Melbourne, Australia

    J. F. De Campo

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  1. J. F. De Campo
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De Campo, J.F. Ultrasound of Wilms' tumor. Pediatr Radiol 16, 21–24 (1986). https://doi.org/10.1007/BF02387500

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  • DOI: https://doi.org/10.1007/BF02387500

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