ppt课件-assessmentanddiagnosisofabdominalmassesinchildren.pptVIP

Assessment and Diagnosis of Abdominal Masses in Children Resident Education Lecture Series General approach to solid tumors What is it? Where is it? Where can it go? The answer to any one of these questions will help answer the other two Work up – two components Staging X-ray of primary site CT chest, abdomen, pelvis CXR (baseline) bone scan Specialty tests Gallium, MIBG, PET Bone marrow ESR Evaluate for complications of the tumor CBC with diff TPN panel LDH, uric acid – tumor lysis, rapid cell growth Lytes, creatinine – renal function Transaminases – hepatic involvement Specialty tests Tum