Ultrasound diagnosis of masses elevating the inferior vena cava

Kurtz, A B; Rubin, CS; Goldberg, B. B.

doi:10.2214/ajr.132.3.401

Cited by 11 publications

(2 citation statements)

References 20 publications

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“…The high incidence of anterior displacement of the IVC by right adrenal tumours has been described previously [2,3,9]. This study demonstrates a similar specific great vessel displacement by both right and left adrenal neuroblastomas which we have not observed on any occasion in Wilms' tumour.…”

Section: Great Vessel Displacementsupporting

confidence: 87%

Ultrasound diagnosis of abdomino-pelvic neuroblastoma

Campo

1985

Pediatr Radiol

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Ultrasound scans of 16 children with abdomino-pelvic neuroblastoma (11 adrenal, 5 extra-adrenal) were reviewed to determine their specific features. With large suprarenal masses, renal displacement and distortion are such that differentiation between renal and extrarenal origin relies on other parameters. The typical ultrasound appearance of an adrenal neuroblastoma is a mass greater than 8 cm in diameter, displacing adjacent great vessels anteriorly and to the opposite side. One hundred percent show echogenicity greater than liver, either focally or diffusely. Ultrasound parameters of great vessel displacement and echo texture have been found reliable in distinguishing between neuroblastoma and other loin masses.

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Section: Great Vessel Displacementsupporting

confidence: 87%

Ultrasound diagnosis of abdomino-pelvic neuroblastoma

Campo

1985

Pediatr Radiol

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“…It has been recommended that the contrast material be introduced through the veins of one or both feet so that an inferior venacavogram can be obtained as part of the study. [1][2][3][4][5][6][7] The reason proposed for visualizing the inferior vena cava is to determine whether or not there is intravascular propagation of tumor thrombus, which could lead to its partial or complete obstruction. Since the cava can be displaced by large masses and pose a hazard during the often difficult dissections entailed in tumor removal, the procedure could also help the surgeon establish the position of the vessel before surgery.…”

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confidence: 99%

Should Inferior Venacavography be Performed in Management of Children with Wilms' Tumor?

Mahboubi

Rosenberg

D’Angio

1982

Clin Pediatr (Phila)

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Our retrospective study showed that a routine inferior venacavogram by foot injection is not helpful in the initial workup for a patient with Wilms' tumor since incomplete or misleading information can result from such an evaluation. The use of ultrasound and computed tomography yields more accurate information regarding the status of the inferior vena cava. AN EXCRETORY UROGRAR4 is an essential~N EXCRETORY UROGRAM is an essential part of the work-up of any child suspected of having Wilms' tumor. It has been recommended that the contrast material be introduced through the veins of one or both feet so that an inferior venacavogram can be obtained as part of the study. 1-7 The reason proposed for visualizing the inferior vena cava is to determine whether or not there is intravascular propagation of tumor thrombus, which could lead to its partial or complete obstruction. Since the cava can be displaced by large masses and pose a hazard during the often difficult dissections entailed in tumor removal, the procedure could also help the surgeon establish the position of the vessel before surgery.We have undertaken the present retrospective study of inferior venacavograms performed at the Children's Hospital of Philadelphia to determine the usefulness and accuracy of the study. All inferior venacavograms were performed as part of the preoperative workup of children suspected of having a Wilms' tumor.~t e~~~~ and Methods Thirty-four consecutive initial inferior venacavograms of children with Wilms' tumor were reviewed to correlate roentgenographic and surgical pathologic findings, to determine the frequency of false positive and false negative results, and to identify technical problems associated with the procedure. This represented the total number of children who were studied in this fashion among the 85 patients seen between 1970 and 1979. Technique of inferior venacavograms. Examination was carried out with the largest bore needle suitable for the age of the child. A tourniquet was applied around the opposite thigh to reduce the venous return to the cava and 2 ml per kilogram of contrast material (diatrizoate sodium 50%) was injected rapidly in the dorsum of the foot, usually on the side of the tumor. Two exposures in the anterior-posterior and lateral projections were made as aliquots of the opaque matter were injected. Routine urographic films followed. Results

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Radiologic Approach to Diseases of the Lymph Nodes

Musumeci¹,

Damascelli²

1984

Diseases of the Lymphatic System

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Ultrasound diagnosis of masses elevating the inferior vena cava

Cited by 11 publications

References 20 publications

Ultrasound diagnosis of abdomino-pelvic neuroblastoma

Ultrasound diagnosis of abdomino-pelvic neuroblastoma

Should Inferior Venacavography be Performed in Management of Children with Wilms' Tumor?

Radiologic Approach to Diseases of the Lymph Nodes

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