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KMID : 0358319840250020188
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Korean Journal of Urology
1984 Volume.25 No. 2 p.188 ~ p.192
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Palpable Abdominal Masses in Infants and Children: 52 Cases
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신세종/Shin SJ
이성준/Lee SC
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Abstract
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The discovery of an abdominal mass in a child usually presents a challenging problem in diagnosis and therapy to the pediatrician, surgeon and urologist. In abdominal masses, the fact that the kidney is the organ which singly produced more palpable masses than any other abdominal organ or even tract was accepted universally and most frequent causes were hydronephrosis, cystic kidney and Wilms` tumor in foreign literatures. In recent retrospective study of 52 cases of palpable abdominal masses in Korean infants and children, we obtained results as follows: 1) The kidney is the most common cause of palpable abdominal mass(86.5%). 2) Of 45 cases of renal masses, hydronephrosis is the most common(60%). 3) Of 45 cases of renal masses, Wilms` tumor is common(37.8%) but cystic kidney is rare(2.2%). 4) The most common cause of solid abdominal mass is Wilms` tumor(74%). 5) The most common cause of hydronephrosis is congenital UPJ obstruction(70%). 6) Neuroblastoma is seldom encountered.
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