Diagnosis of bladder rhabdomyosarcoma by ultrasonography in children

doi:10.3877/cma.j.issn.1672-6448.2018.08.003

Abstract

Abstract:

Objective

To assess the ability of transabdominal ultrasound to detect bladder rhabdomyosarcoma in children and to describe its ultrasonographic appearance.

Methods

Totally 40 cases of surgically and pathologically confirmed bladder rhabdomyosarcoma cases in Beijing Children′s Hospital Affiliated to Capital Medical University from January 2006 to December 2017 were retrospectively reviewed and the ultrasonographic characteristics were analyzed.

Results

In 40 patients, the ultrasound made correct diagnosis in 35 cases. In 40 cases, the bladder rhabdomyosarcoma showed intravesical mass. Tumors are commonly located at the vesical trigone and bladder neck, appeared as a botryoid or lobulated, hypoechoic or isoechoic mass.

Conclusions

The diagnosis of bladder rhabdomyosarcoma should be considered in case with a mass at the vesical trigone by ultrasonography, especially for boys with difficulty in urination. Due to the specific ultrasonic manifestations of bladder rhabdomyosarcoma in children, ultrasound examination can be used as the first choice of diagnostic imaging .

Key words: Ultrasonography, Child, Bladder tumor, Rhabdomyosarcoma, Pathology

Jing Wang, Xiaoman Wang, Liqun Jia. Diagnosis of bladder rhabdomyosarcoma by ultrasonography in children[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2018, 15(08): 579-582.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2018.08.003

https://chaosheng.cma-cmc.com.cn/EN/Y2018/V15/I08/579

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References 10

1	Buckley KS. Pediatric genitourinary tumors [J]. Curr Opin Oncol, 2012, 24(3):291-296.
2	Huppmann AR, Pawel BR. Polyps and masses of the pediatric urinary bladder: a 21-year pathology review [J]. Pediatr Dev Pathol, 2011, 14(6):438-444.
3	Stehr M. Pediatric urologic rhabdomyosarcoma [J]. Curr Opin Urol, 2009, 19(4):402-406.
4	何乐健，王琳，孙宁, 等. 儿童横纹肌肉瘤的临床病理研究 [J]. 中华病理学杂志, 2004, 33(3):225-228.
5	Zhan XK, Zhang S, Cao BW, et al. Clinicopathological characteristics and treatment outcomes of Chinese patients with genitourinary embryonal rhabdomyosarcoma [J]. World J Surg Oncol, 2015, 13:190.
6	Shelmerdine SC, Lorenzo AJ, Gupta AA, et al. Pearls and Pitfalls in Diagnosing Pediatric Urinary Bladder Masses [J]. Radiographics, 2017, 37(6):1872-1891.
7	杜隽，王谦，仲卿雯, 等. 儿童盆腔及泌尿生殖系统横纹肌肉瘤的超声诊断 [J]. 临床超声医学杂志, 2008, 10(2):121-123.
8	陶菁. 小儿腹盆腔横纹肌肉瘤的CT表现与病理比较分析 [J]. 首都食品与医药, 2017, 24(22):28.
9	杨天序，曾津津，贾立群, 等.小儿盆腔及泌尿生殖系横纹肌肉瘤的超声诊断 [J]. 放射学实践, 2008, 23(6):690-692.
10	张英，宋宏程，孙宁, 等. 儿童膀胱良性肿瘤的诊治分析 [J]. 中华泌尿外科杂志, 2017, 38(8):600-603.

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