|dc.identifier.citation||Degree of Masters of Medicine in Diagnostic Radiology||en
|dc.description||A dissertation submitted in part fulfilment for the
Degree of Masters of Medicine in Diagnostic Radiology,
University Of Nairobi||en
|dc.description.abstract||A prospective study of 30 patients with confirmed leukaemia
is presented. The study included analysis of chest, skull
and bones at the knee joint.
20 males and 10 females were seen, 15 had ALL, 13 had ANLL
and 2 had CGL. 6 out of 30 pa ti.e.nt s had no radiographic
abnormality seen on their films. Radiological features
included sutural diastasis, metaphyseal bands, periosteal
reaction, humeral erosions, cardiomegaly, perihilar
infiltrate and/or mass and pleural effusion.
Metaphyseal bands and cardiomegaly were the most common
abnormalities seen in 50% and 30% respectively. The results
are compared with other studies done elsewhere.
Apart from definitive laboratory tests, the chest radiograph
is the next most important diagnostic tool as the
radiologist could be the first to alert the clinician of the
possibility of leukaemia.
14 patients were included for abdominal ultrasound
examination after haematological confirmation of leukaemia.
9 of them had ALL and 5 had ANLL. Of these 14 cases, 8
patients presented with hepatosplenomegaly and 2 of these 8
patients also had nephromegaly. No ascites or para-aortic
lymph nodes were seen in any of these patients.No focal
lesions were seen.||en
|dc.publisher||University of Nairobi||en
|dc.title||The radiological manifestations of paediatric leukaemias at Kenyatta National Hospital, Nairobi||en
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya||
|local.publisher||School of Medicine||en