Pelvic tumors in children may be large, complex and of unknown origin.
Preoperative radiological information regarding tumor localization an
d extent becomes essential in these cases for proper staging and surgi
cal planning. Magnetic resonance imaging (MRI) offers the ability to e
nhance the surgical preparation of children who present with a pelvic
mass. Advantages of MRI over computerized tomography include improved
soft tissue characterization, signal enhancement of neuroendocrine tum
ors and multiplanar imaging. These features better define the origin,
size and extent of tumors. In addition, no ionizing radiation is requi
red. Several examples of pelvic tumors are presented. The new anatomic
al information provided by MRI altered surgical planning previously ba
sed on computerized tomography findings alone.