ABSTRACT
Abdominal cystic lesions in children may originate from parenchymatous organs or from nonparencyhmatous structures. Although these lesions have well-described imaging features, proper diagnosis usually depends on the accurate determination of the origin of the lesion. Because large lesions may resemble each other it is difficult to identify the site of origin, which results in a diagnostic dilemma. In this pictorial essay we describe abdominal nonparenchymatous cystic lesions and their mimics arising from parenchymatous organs in children.
Subject(s)
Abdominal Neoplasms/diagnosis , Cysts/diagnosis , Digestive System Diseases/diagnosis , Abdomen/diagnostic imaging , Abdomen/pathology , Abscess/diagnosis , Child , Child, Preschool , Choledochal Cyst/diagnosis , Diagnosis, Differential , Female , Humans , Infant , Infant, Newborn , Lymphatic Abnormalities/diagnosis , Magnetic Resonance Imaging/methods , Male , Radiography, Abdominal/methods , Teratoma/diagnosis , Tomography, X-Ray Computed/methods , UltrasonographyABSTRACT
PURPOSE: Elastofibroma dorsi (ED) is a rare, benign soft tissue tumor arising from connective tissue and usually found in the subscapular region. We conducted this retrospective study to contribute to a better understanding of this tumor, the pathogenesis of which is still unclear. METHODS: We reviewed the medical records of eight patients treated for ED at our institution between 2003 and 2008. RESULTS: All patients were right-handed and all except one were female. The tumor was located on the right in two patients, on the left in one, and bilaterally in five. All patients underwent complete marginal resections. The resected tumors ranged in size from 5 cm to 12 cm. The only postoperative complication was seroma, observed in two patients. No recurrences have been observed in follow-up ranging from 15 days to 5 years. CONCLUSIONS: We could not establish a relationship between the side of the dominant hand and the tumor location. If this tumor becomes symptomatic, local excision is the best treatment; however, as malignant transformation has not been reported, follow-up is recommended for asymptomatic lesions.