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ECR 2018 / C-3022
Pediatric cranio-facial lytic lesions: doubts and certainties from radiologist’s point of view
Congress: ECR 2018
Poster No.: C-3022
Type: Educational Exhibit
Keywords: Education and training, Education, Diagnostic procedure, Nuclear medicine conventional, MR, CT, Paediatric, Oncology, Head and neck
Authors: C. Carducci1, I. P. Voicu1, L. Lattavo2, A. Mastronuzzi1, G. M. Milano1, S. Gaspari1, P. Toma1, G. S. Colafati2; 1Rome/IT, 2Roma (RM)/IT
DOI:10.1594/ecr2018/C-3022

Conclusion


Imaging plays an important role in the diagnostic investigation of patients presenting these lesions. Imaging gol is to achive a diagnostic hypothesis combining all radiological findings with clinical information.

It is essential to answer the clinician to the following questions.

 

  • Identification of the site of the lesion
  • To formulate hypotheses based on CT and MR features 
  • Staging
  • Follow up (identify which exam is most appropriate)
  • Provide the necessary information to the surgical planning in case of malignant lesions

In some cases in which the lesions develop in particular locations, the correct diagnosis is fundamental as in the case  of radbdomyosarcoma vs Ewing's sarcoma, as:

 

  • Change lesion chemosensitivity
  • Need to compare the radiologist with the surgeon and the onco-hematologist to identify any sites at risk and evaluate the most appropriate therapeutic strategy.

 

 

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