Practical management of pulmonary nodules in the most common pediatric tumors.

Autor: Cruz-Conde MC; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: carmenccrg@gmail.com., Gallego Herrero C; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, España., Rasero Ponferrada M; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, España., Alonso Sánchez J; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, España., Pérez Alonso V; Servicio de Oncología Pediátrica, Hospital Universitario 12 de Octubre, Madrid, España.
Jazyk: English; Spanish; Castilian
Zdroj: Radiologia [Radiologia (Engl Ed)] 2021 May-Jun; Vol. 63 (3), pp. 245-251. Date of Electronic Publication: 2021 Jan 20.
DOI: 10.1016/j.rx.2020.11.007
Abstrakt: In pediatric patients with sarcomas, hepatoblastomas, or other types of primary tumors, lung metastases are often found at diagnosis or during follow-up. The wide variety of primary tumors and clinical situations makes management and follow-up of these patients challenging. Chest CT is the best way to detect the dissemination of disease to the lungs. Many pulmonary nodules are nonspecific, and many might not be pathological. Others have characteristics that make them suspicious. Although there are some general features that indicate that a pulmonary nodule is likely to be a metastasis, sometimes the meaning of these features depends on the primary tumor. Furthermore, metastases can develop during the course of the disease, and the protocols for follow-up are different for different primary tumors. We review the different protocols used at our hospital for the primary tumors that most often metastasize to the lungs, including the criteria for lung metastases and the follow-up for each primary tumor.
(Copyright © 2020 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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