Xu Yuan-hong, Guo Ke-jian, Ma Ming-hui, Bai Yan, Yu Guo-zhi, Ge Chun-lin, Guo Ren-xuan, Li Liang-geng, Tian Yu-lin, He San-guang
The Department of General Surgery, First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Zhonghua Wai Ke Za Zhi. 2007 Jun 1;45(11):756-8.
To investigate the diagnosis and surgical treatment of adult primary retroperitoneal malignant tumor (APRMT).
The clinical data of 98 cases with APRMT underwent resection from January 1990 to April 2003 were analyzed retrospectively.
Among the 98 cases, complete excision were performed in 79 cases (80.6%), palliative excision in 16 cases (16.3%), tumor biopsy only in 3 cases (3.1%). Resection of involved adjacent organs were carried out in 25 cases (25.5%) and the re-operation rate for recurrence was 28.6% (28 cases). The 1, 3, 5 year survival rates for 79 cases with complete resection were 93.7%, 73.4% and 34.2%, respectively. The 1, 3, 5 year survival rate for 16 cases with palliative resection were 75.0%, 6.3% and 6.3%, respectively.
Certain imaging examinations are crucial to the diagnosis and preoperative evaluation of APRMT. Resection of the involved organs could improve resection rate and prognosis. For the recurrent cases, earlier reoperation is strongly recommended.
探讨成人原发性腹膜后恶性肿瘤（APRMT）的诊断及外科治疗方法。
回顾性分析1990年1月至2003年4月间行手术切除的98例APRMT患者的临床资料。
98例患者中，79例（80.6%）行根治性切除，16例（16.3%）行姑息性切除，仅3例（3.1%）行肿瘤活检。25例（25.5%）患者切除了受累的相邻器官，复发再手术率为28.6%（28例）。79例根治性切除患者的1、3、5年生存率分别为93.7%、73.4%和34.2%。16例姑息性切除患者的1、3、5年生存率分别为75.0%、6.3%和6.3%。
某些影像学检查对APRMT的诊断及术前评估至关重要。切除受累器官可提高切除率及改善预后。对于复发患者，强烈建议尽早再次手术。
