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Differential diagnosis of abdominal masses in children

Korean Journal of Pediatrics 2008;51(8):787-791.
Published online August 15, 2008.
Differential diagnosis of abdominal masses in children
Ki Woong Sung
Department of Pediatrics, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
소아 복부 종괴의 감별진단
성균관대학교 의과대학 삼성서울병원 소아과학교실
Ki Woong Sung, Email: kwsped@skku.edu
Enlargement of organs or other solid tissues usually presents as an abdominal mass. Often, abdominal masses in children are found by an unsuspected parent or by a physician during a routine examination. Most masses have no specific signs or symptoms. Abdominal masses in children require immediate attention. History and physical examination may provide clues to the diagnosis. Ultrasound examination is the most useful screening test in most cases and may identify the organ involved and clarify whether the mass is solid or cystic. CT may be necessary to make a more precise diagnosis, especially solid masses. MRI is occasionally is helpful for specific abnormalities.
Key Words: Abdominal mass, Differential diagnosis

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