Benign paediatric liver tumours: The radiological maze demystified

SA Journal of Radiology

Field Value
Title Benign paediatric liver tumours: The radiological maze demystified
Creator Sherwani, Poonam Kandasamy, Devasenathipathy Sharma, Raju Goel, Prabudh Jana, Manisha Krishnan, Nellai
Subject General Practice benign; liver; infantile hepatic haemangioma; mesenchymal hamartoma; adenoma; focal nodular hyperplasia.
Description The trajectory from the clinical identification of a benign liver mass to establishing a precise diagnosis is perplexing and arduous. Related contributory factors are that such lesions are encountered infrequently and that there is a nonavailability of dedicated paediatric radiologists in the developing world. The objective of this study was to review the spectrum of benign liver lesions in children and their typical imaging features. Cross-sectional imaging of all paediatric patients ( 18 years) with liver lesions (single and multiple) performed in the institute from 01 January 2018 to 01 January 2019 as well as those acquired at outside institutions and referred to the institute for management was included. Ultrasound was done as the first line of investigation in all the cases with suspicious liver masses and retrospectively performed in referral cases in whom CT or MRI was already done. Images were analysed by two senior radiologists. Most of the cases were diagnosed based on clinical, biochemical and imaging findings, and biopsy was only performed in equivocal cases. Most of the benign liver lesions in the paediatric age group were hepatic haemangioma and mesenchymal hamartomas. A simplified clinical-radiologic paradigm should be established for benign liver lesions in children to assist in reaching the correct diagnosis.Contribution: The article demonstrates the salient radiological findings of various benign liver lesions in the paediatric age group and the role of demographic, clinical and biochemical findings, which plays a substantial role in the diagnosis and avoids unnecessary biopsies.
Publisher AOSIS
Date 2024-02-12
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajr.v28i1.2726
Source South African Journal of Radiology; Vol 28, No 1 (2024); 11 pages 2078-6778 1027-202X
Language eng
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Coverage India — —
Rights Copyright (c) 2024 Poonam Sherwani, Devasenathipathy Kandasamy, Raju Sharma, Prabudh Goel, Manisha Jana, Nellai Krishnan