The goal of this work was the assessment of capability for multidetector computed tomography (MDCT) in the diag-nostics of retroperitoneal tumors in children. We studied the results of multidetector computed tomography of 63sick children (36 boys (58%) and 27 girls (42%)) between the ages of 1 month to 16 years, from 2012 to 2015. The aver-age age of the patients was 4.9±4.5 years, with a predominance of boys (2:1.4). Among retroperitoneal tumors in children most often we found neuroblastoma (50.8%): in 38.1% it was detected in boys, in 12.7% – in girls (p<0.05). Nephroblastoma was detected in 10%, the other retroperitoneal tumors accounted for 40%. In 56% neuroblastoma was located at the upper level of retroperitoneal space. In 44% tumors localized in para-aortic area, in paravertebral space or in the pelvis. Neuroblastomas on MDCT scans were presented by heterogeneous formations, unevenly accumu-lating contrast. In 62% of cases we detected calcifications, in 19% we observed cysts and in 56% of cases there were metastatic involvements detected. Thus, the MDCT is a method able to accurately specify the localization of the tumor, to clarify the character and volume of destruction, to determine the exact size of a tumor and its relationship with the surrounding tissues, as well as to reveal metastatic lesions in the abdominal cavity and in other organs.
retroperitoneal sarcomas, neuroblastoma, nephroblastoma, multidetector computed tomography, prevalence, children, teenagers
1. BegunIV, KraskoOV, ZborovskayaAA (2013). Justification of opportunities and terms for early visualization of abdominal and retroperitoneal solid malignancies in infants [Obosnovanie vozmozhnosti i sroki ranney vizualizatsii zlokachestvennykh novoobrazovaniy bryushnoy polosti zabryushinnogo prostranstva u detey do goda]. Onkologicheskiy zhurnal, (4), 28-34.
2. OzhegovAM (2010). Paculiarities of epidemiology, diagnostics and prediction of malignant tumors in infants [Osobennosti epidemiologii, diagnostiki i prognoza zlokachestvennykh opukholey u detey pervogo goda zhizni]. Prakticheskaya meditsina, (6), 44-49.
3. RasulovRI, DvornichenkoVV, MuratovAA, SongolovGI, MozgunovDV (2015). Primary retroperitoneal tumors: past and present [Neorgannye zabryushinnye opukholi: proshloe i nastoyashchee]. Sibirskiy meditsinskiy zhurnal (Irkutsk), (7), 5-14
4. SolovyevAE, MorgunVV, PakholchukAP (2015) Features of neuroblastomas in children [Osobennosti neyroblastom u detey]. Onkopediatriya, 2(2), 145-148
5. DhirS, WheelerK (2010). Neonatal neuroblastoma. Early Human Development, (86), 601-605.
6. XuY, WangJ, PengY, ZengJ (2010). CT characteristics of primary retroperitoneal neoplasms in children. Eur. J. Rad., 75(3), 321-328
7. ZugorV, SchottGE, KühnR, LabanarisAP (2009). Retroperitoneal gannglioneuroma in childhood – a presentation of two cases. Pediatrics Neonatology, 50(4), 173-176.
