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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

CAMPBELL B., Myriam et al. Malignant abdominal tumors in childhood. Diagnostic approach. Rev. chil. pediatr. [online]. 1999, vol.70, n.6, pp.464-469. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41061999000600003.

The objective is to describe the clinical features in children with abdominal tumors. Patients and Method: 50 patients, admitted to Hospital Roberto del Río from december 1998 to april 1999, were reviewed. Results: 52% male; age 1-5 years: 46%. Initial symptoms: pain 40%, abdominal mass 32%. Physical examination: abdominal distension 36%, tenderness 44%, palpable mass 82%. Abdominal ultrasonography (n: 44): solid mass 36, cystic/solid 6, bowel infiltration 2. Surgery: total resection 28, parcial 5, biopsy 17. Diagnosis: Wilms tumor 19, Burkitt like lymphoma 14, germ cell tumor 7, neuroblastoma 6, hepatoblastoma 2, soft tissue sarcoma 1, adrenal carcinoma 1. Main tumors under 5 year-old: Wilms tumor, neuroblastoma; older than 5 year-old: germ cell tumor. Time pre-diagnosis: more than 4 weeks in 50% of advanced stages, and in 12% of localized disease. Conclusion: The principal symptoms were pain and tumor. Wilms tumor was the most frequent, otherwise age and sex give orientation. Ultrasonography detect all cases. Retarding diagnosis 4 weeks was associated with more extention of the tumor, indicating that all abdominal mass should always be considered a paediatric urgency

Palabras clave : abdominal tumors; infancy.

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