The accuracy of ultra-sonographic findings in detection of abdominal tumor size in children (our experience in Children Medical Center)

Bahar Ashjaee, Saeedeh Azary, Amin Khalifeh-Soltani



Introduction: Since abdominal tumors are one of the common causes of childhood death, studying the clinico-pathologic features of them is important for early diagnosis. Our aim in this study was to determine these features in Iranian children and to evaluate the accuracy of ultrasonography in diagnosing abdominal masses in children.

Materials and Methods: In this retrospective case series study, data about sex, age, primary chief complaint, physical examination, imaging report and pathology finding of 156 children with abdominal tumor, who were admitted to the Children Medical Center in the last 6 years were gathered.

Results: Male to female ratio was 0.69. The most common type of tumor in this study was Willm’s (37.5%) and Neuroblastoma (35.7%). Mean age of children with Willm’s tumor and Neuroblastoma was 38.95 and 26.65 months respectively. Ultrasonography has a lower accuracy in patients with tenderness, children with Willm’s tumor, female patients and children under 5 years old.

Conclusion: Our different findings regarding tumor type and distribution as opposed to previous studies may be due to genetic and geographic variations. In addition, this study shows that the accuracy of Ultrasonography in children with abdominal tumors depends on children’s sex, age, pain and the type of tumor.


Pediatric abdominal tumor; Ultrasonography; Willm’s tumor; Neuroblastoma

Full Text:




Kim PK, Lee HS, Chin DS, et al:Clinical studies of abdominal tumors in infants and children- -ten year review. Yonsei medical journal. 1970;11(2):182-93.

Jaafari-Ashkavandi Z, Ashraf MJ: A Clinico-Pathologic Study of 142 Orofacial Tumors in Children and Adolescents in Southern Iran:Iranian Journal of Pediatrics 2011, 21(3): 367-372.

V.Rastogi, P.K.Singal, A. Aserland S.B.Taneja.Pattern of abdominal masses: Indian J of Pediatr,1988;55:295-300.

Robison LL: General principles of the epidemiology of childhood cancer. In: Pizzo PA PD, eds. Principles and practice of pediatric oncology. 3d ed. Philadelphia: Lippincott-Raven, 1997:1-10.

Ehrlich PF: Wilms tumor: progress and considerations for the surgeon. Surg Oncol 2007;16 (3): 157-71.

Dome JS, Cotton CA, Perlman EJ, et al: Treatment of anaplastic histology Wilms’ tumor: results from the fifth National Wilms’ Tumor Study. J Clin Oncol 2006; 24 (15): 2352-8.

Shamberger RC, Anderson JR, Breslow NE, et al: Long-term outcomes for infants with very low risk Wilms tumor treated with surgery alone in National Wilms Tumor Study-5. Ann Surg 2010; 251 (3): 555-8.

Shahgili E, Bavarian B: Early diagnosis of Neuroblastoma by mass screening.Iranian journal of pediatrics 1997; 7:27-28.

Raab CP, Gartner JC: Diagnosis of childhood cancer. Primary care. 2009;36(4):671-84.

Goldstein NS, Soman A, Sacksner J: Disparate surgical margin lengths of colorectal resection specimens between in vivo and in vitro measurements. Am J Clin Pathol 1999; 111: 349–51.

Smith EH: The hazards of fine-needle aspiration biopsy. Ultrasound in medicine & biology. 1984;10(5):629-34.

Engzell U, Esposti PL, Rubio C, et al: Investigation on tumour spread in connection with aspiration biopsy. Acta radiologica: therapy, physics, biology 1971;10(4):385-98.

Colquhoun IR, Saywell WR, Dewbury KC: An analysis of referrals for primary diagnostic abdominal ultrasound to a general X-ray department. The British journal of radiology 1988;61(724):297-300.

Goodman M, Gurney, JG, Smith, MA, et al: Sympathetic nervous system tumors. In: Cancer Incidence and Survival among Children and Adolescents: United States SEER Program, 1975-1995, Ries, LA, Smith, MA, Gurney, JG, et al (Eds), National Cancer Institute, Bethesda, MD 1999. p.35.

Seyed-Ahadi MM, Khaleghnejad-Tabari A, Mirshemirani A: Wilm’s Tumor: A 10 Year Retrospective Study. Archives of Iranian Medicine 2007; 10(1): 65– 69.

Khaleghnejad-Tabari A, Mirshemirani A, Rouzrokh M: Pediatric Germ cell Tumors; A 10 year experience. Iran J Pediatr 2014; 24 (4): 441 - 444



  • There are currently no refbacks.

pISSN: 2423-5067

eISSN: 2423-7612

Creative Commons License
This journal and its contents are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.