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The continued value of angiography in planning surgical resection of benign and malignant hepatic tumors in children

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Abstract

We assessed the accuracy of angiography or digital subtraction angiography (DSA) in diagnosing malignancy in hepatic tumors in children. In addition, these results were correlated with sonographic and computed tomographic findings of the liver in selected patients. Twenty-seven patients with primary liver tumors were examined with celiac or selective hepatic arteriography. Sonography was performed in 15 and computed tomography in 15 of the 27 patients. Angiographic criteria for malignancy or benignancy were established. These findings were correlated with computed tomographic and sonographic findings of the liver vascularity in selected patients. The final pathologic diagnosis was established surgically or by percutaneous biopsy. Sonography and computed tomography can be used as the initial procedure for evaluating tumor size, location and hepatic vascularity. However, the exact vascular anatomy demonstrated by angiography in children is more accurate and is often needed prior to surgical resection of primary liver tumors.

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References

  1. Miller JH, Gates GF, Stanley P (1977) The radiologic investigation of hepatic tumors in childhood. Radiology 124: 451

    CAS  PubMed  Google Scholar 

  2. Miller JH, Greenspan BS (1985) Integrated imaging of hepatic tumors in childhood. Part I: Malignant lesions (primary and metastatic). Radiology 154: 83

    CAS  PubMed  Google Scholar 

  3. Smith WL, Franken EA, Mitros FA (1983) Liver tumors in children. Semin Roentgenol 18: 136

    Article  CAS  PubMed  Google Scholar 

  4. Tonkin ILD, Fitch SJ, Magill HL, Gerald BE, Gold RE, Alpert BS, Chase NA, Watson DC (1986) Pediatric digital subtraction angiography: intraarterial and intracardiac applications. Pediatr Radiol 16: 126

    Article  CAS  PubMed  Google Scholar 

  5. Stanley P (ed) (1982) Celiac axis arteriography. In: Pediatric angiography. Williams and Wilkins, Baltimore, p 179

    Google Scholar 

  6. Berger PE, Afshani E (1982) Angiography. In: Franken EA Jr (ed) Gastrointestinal imaging in pediatrics. Harper & Row, Philadelphia, p 474

    Google Scholar 

  7. Moore AV, Kirks DR, Mills SR, Heaston DK (1982) Pediatric abdominal angiography: panacea or passe? AJR 138: 433

    CAS  PubMed  Google Scholar 

  8. Novy S, Wallace S, Medellin H, McBride C (1974) Angiographic evaluation of primary malignant hepatocellular tumors in children. AJR 120: 353

    CAS  Google Scholar 

  9. Moss AA, Clark RE, Palubinskas AJ, de Lorimier AA (1971) Angiographic appearance of benign and malignant hepatic tumors in infants and children. AJR 113: 61

    CAS  Google Scholar 

  10. Goldstein HM, Neiman HL, Mena E, Bookstein JJ, Appelman HG (1974) Angiographic findings in benign liver cell tumors. Radiology 110: 339

    CAS  PubMed  Google Scholar 

  11. Diament MJ, Parvey LS, Tonkin ILD, Johnson KD, Bernstein R, Webber B (1982) Hepatoblastoma: technetium sulfur colloid uptake simulating focal nodular hyperplasia. AJR 139: 168

    CAS  PubMed  Google Scholar 

  12. Korobkin M, Kirks DR, Sullivan DC, Mills SR, Bowie JD (1981) Computed tomography of primary liver tumors in children. Radiology 139: 431

    CAS  PubMed  Google Scholar 

  13. Berger P (1982) Computerized tomography. In: Franken EA Jr (ed) Gastrointestinal imaging in pediatrics. Harper & Row, Philadelphia, p 490

    Google Scholar 

  14. Kuhn JP, Berger PE (1980) Computed tomographic imaging of abdominal abnormalities in infancy and childhood. Pediatr Ann 9: 200

    CAS  PubMed  Google Scholar 

  15. Brunelle F, Chaumont P (1984) Hepatic tumors in children: ultrasonic differentiation of malignant from benign lesions. Radiology 150: 695

    CAS  PubMed  Google Scholar 

  16. Atkinson GO Jr, Kodroff M, Sones PJ, Gay BB Jr (1980) Focal nodular hyperplasia of the liver in children: a report of three new cases. Radiology 137: 171

    PubMed  Google Scholar 

  17. Scatrarige JC, Fishman EK, Sanders RC (1982) The sonographic “scar sign” in focal nodular hyperplasia of the liver. J Ultrasound Med 1: 275

    Google Scholar 

  18. Rosenbaum DM, Mindel HJ (1981) Ultrasonographic findings in mesenchymal hamartoma of the liver. Radiology 138: 425

    CAS  PubMed  Google Scholar 

  19. Lanuza A, Perez-Candela V, Ceres L, Cortina H, Mari A, Villaneuva A (1980) Hepatic hamartoma in a newborn. Pediatr Radiol 9: 111

    Article  CAS  PubMed  Google Scholar 

  20. Wendth AJ, Shamoun J, Pantoja E, Luther P, Frede T (1976) Cystic hamartoma of the liver in a pediatric patient. Radiology 121: 440

    CAS  PubMed  Google Scholar 

  21. Dachman AH, Lichtenstein JE, Friedman AC, Hartman DS (1983) Review — Infantile hemangioendothelioma of the liver: a radiologic-pathologic-clinical correlation. AJR 140: 1091

    CAS  PubMed  Google Scholar 

  22. Abramson SJ, Lack EE, Teele RL (1982) Benign vascular tumors of the liver in infants: sonographic appearance. AJR 138: 629

    CAS  PubMed  Google Scholar 

  23. Slovis TL, Berdon WE, Haller JO, Casarella WJ, Baker DH (1975) Hemangiomas of the liver in infants. Review of diagnosis, treatment and course. AJR 123: 791

    CAS  Google Scholar 

  24. de Lorimier AA, Simson EB, Baum RS, Carlsson E (1967) Hepatic-artery ligation for hepatic hemangiomatosis. N Engl J Med 277: 333

    Article  Google Scholar 

  25. Shannon K, Buchanan GR, Votteler TP (1982) Multiple hepatic hemangiomas: failure of corticosteroid therapy and successful hepatic artery ligation. Am J Dis Child 136: 275

    CAS  PubMed  Google Scholar 

  26. Stanley P, Grinnell VS, Stanton RE, Williams KO, Shore NA (1983) Therapeutic embolization of infantile hepatic hemangioma with polyvinyl alcohol. AJR 141: 1047

    CAS  PubMed  Google Scholar 

  27. Burrows PE, Rosenberg HC, Chuang HS (1985) Diffuse hepatic hemangiomas: percutaneous transcatheter embolization with detachable silicone balloons. Radiology 156: 85

    CAS  PubMed  Google Scholar 

  28. Weinreb JC, Cohen JM, Armstrong E, Smith T (1986) Imaging the pediatric liver: MRI and CT. AJR 147: 785

    CAS  PubMed  Google Scholar 

  29. Zeman RK, Paushter DM, Schiebler ML, Choyke PL, Jaffe MH, Clark LR (1985) Hepatic imaging: current status. Radiol Clin North Am 23: 473

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, The University of Tennessee, LeBonheur Children's Medical Center, Memphis, Tennessee, USA

    I. L. D. Tonkin

  2. Department of Pediatric Surgery, LeBonheur Children's Medical Center, Memphis, Tennessee, USA

    E. L. Wrenn Jr. & R. S. Hollabaugh

Authors
  1. I. L. D. Tonkin
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  2. E. L. Wrenn Jr.
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  3. R. S. Hollabaugh
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Tonkin, I.L.D., Wrenn, E.L. & Hollabaugh, R.S. The continued value of angiography in planning surgical resection of benign and malignant hepatic tumors in children. Pediatr Radiol 18, 35–44 (1988). https://doi.org/10.1007/BF02395758

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  • DOI: https://doi.org/10.1007/BF02395758

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