|ECR 2018 / C-3022|
|Pediatric cranio-facial lytic lesions: doubts and certainties from radiologist’s point of view|
Cranio-facial lytic lesions are a common topic in the daily practice of pediatric radiologists. Diagnosis in children is often incidentally in asymptomatic patients who perform radiological or neuroradiological exam with other clinical questions.
Role of imaging in the diagnosis and follow-up of pediatric cranio-facial lytic lesions is recognized as crucial for diagnosis, follow up and correct management.
The detailed knowledge of the radiological semeiotic of the lesions and the differential diagnosis related to patient’s age and clinical history are fundamental in making the radiologic diagnosis and for the contribution that Imaging can provide to the correct clinical/radiological management.
Although there are certainties about radiological semiotics of these lesions, there are patterns and characteristics difficult to interpret/confounders and this cases can represent the real problem, especially dor not dedicated pediatric radiologists (non dedicated pediatric centres).
A correct imaging modality choice and timing in the clinical/radiological management for each lesion is fundamental.
The cranio-facial lytic lesions have different etiology, neoplastic and non neoplastic. The spectrum of features is broad and depends on the different pathological characteristics.
As adults, in the pediatric population it is possible to recognize lytic lesions peculiar to age, site and imaging characteristics or lesions that have similar features and therefore represent a diagnostic challenge.