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Pediatric Solid Abdominal Tumors Culpepper
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Pediatric Abdominal Tumors: A Focus on Wilms’ Tumor
Chris Culpepper, MD
General Surgery Grand Rounds
5/25/11
Objectives
To discuss:
The most common pediatric solid abdominal tumors
Epidemiology, clinical presentation, and associated congenital syndromes involved in Wilms’ tumor
Surgical management
Staging and postoperative chemoradiation therapies in Wilms’ tumor
Solid Abdominal Tumor
2-year-old boy complains of abdominal pain and loss of appetite. Physical exam is significant for a large palpable abdominal mass.
Differential diagnosis:
Neuroblastoma
Rhabdomyosarcoma
Hepatoblastoma
Nephroblastoma (Wilms’ tumor)
Solid Abdominal Tumors
Neuroblastoma
Most common malignant solid abdominal tumor in children
Derived from neural crest tissue
May arise anywhere along the sympathetic ganglia
Most common location is adrenal medulla
Average age at presentation is 1-2 years
70%
>1 y/o – overall survival
Pediatric Solid Abdominal Tumors Culpepper 下載http://ziyuan.iiyi.com/source/down/2391826.html
當(dāng)過多的子宮出血(包括經(jīng)量過大、經(jīng)期延長或行經(jīng)周期縮短)不是由于可證實(shí)的盆...[詳細(xì)]
由于宮腔容積明顯縮小,附著于子宮壁的胎盤不能縮小而與相應(yīng)子宮壁發(fā)生錯位剝離...[詳細(xì)]
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