Pediatric Pelvic Tumors

Pediatric Pelvic Tumors

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Summary

Children can have pelvic tumors in their reproductive organs, bone and soft tissues. Pelvic tumors are rare, and often are associated with the child’s age or genetic predisposition. When you suspect or detect a rare tumor in a pediatric patient’s pelvic area, you will want to consult with or refer your patient to a team of experts in rare childhood cancers.

Expanded Overview

Tumors that occur in the pelvic area of children include:

  • Ovarian germ cell tumors, which can develop in adolescent girls and young women.
  • Extragonadal germ cell tumors, which occur in areas other than the testicles or ovaries.
  • Ewing tumors of the pelvic bone. Ewing tumors are types of osteosarcoma that usually occur in children and teens.
  • Chondrosarcomas, which are a type of bone sarcoma that develops in cartilaginous tissue.
  • Rhabdomyosarcomas are rare soft tissue tumors that can occur in the genitourinary tract and lower abdominal or anal area.
  • Transitional cell cancer of the renal pelvis and ureter.
  • Desmoplastic small cell round tumor, a soft tissue sarcoma that can affect boys and can form or spread in the pelvis or in tissues around the testes.

Symptoms

Depending on the type and location of a tumor in the pelvis, a child might have abdominal pain and swelling. If a tumor is in or pressing on the sacrum, the child might experience constipation, incontinence or leg weakness.

Tests and Diagnosis

Ultrasonography, abdominal/pelvic computed tomography, magnetic resonance imaging and radiography are used to evaluate the pelvic organs, bones and tissues. Nuclear bone scans also can be used to detect bone tumors.

Diagnosing and managing tumors in the pelvis requires knowledge of the many types and subtypes of tumors that occur in children. Our team of experienced pediatric oncologists and subspecialists is available to consult with community physicians and for referrals or emergency transfers, if needed. 

Treatment

Treatment of tumors in the pelvis is complex, often involving critical structures such as the spinal cord. At Children’s, our specialists have experience treating rare childhood cancers. Our physicians participate in important clinical trials and our oncology and specialty departments are among the 10 consistently ranked as top pediatric programs in the country by U.S. News & World Report.

Our mission is to make life better for children. We’ll work together with you, our patients and their families to manage rare and complex tumors of the pelvis and return patients to their communities as soon as possible.

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