Virseda Rodríguez Julio A, Donate Moreno María José, Pastor Navarro Héctor, Carrión López Pedro, Martínez Ruiz Jesús, Martínez Sanchiz Carlos, Perán Teruel Miguel
Urology Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Arch Esp Urol. 2010 Jan-Feb;63(1):13-22.
To investigate our case series of patients with primary retroperitoneal tumors over the past 10 years, analyzing clinical symptoms, diagnostic tests, tumor pathology, surgical data, concomitant cancer treatments, recurrence and survival rates.
Retrospective analysis of 37 patients with primary retroperitoneal tumors diagnosed at our hospital over the past 10 years.
Computed tomography (CT) was the imaging technique used most often and the most accurate. Tumors were malignant in 83% of patients and benign in 17%. Complete tumor resection was performed in 73% of cases; the most common approach was midline laparotomy. Neighboring organs were also removed in 51.8% of cases in which radical resection was performed. The recurrence rate was 45% in patients who underwent surgery. Median time to onset of recurrence following open surgery was 23 months. Repeat resection was performed in 66% of cases with recurrence. Five-year survival following total resection of malignant tumors was 44%. The mean patient survival after repeat resection was 9.8 months.
Primary retroperitoneal tumors are rare and usually malignant. Surgery is the treatment of choice and complete tumor resection is the main factor that determines prognosis.
研究过去10年我院原发性腹膜后肿瘤患者的病例系列，分析临床症状、诊断检查、肿瘤病理、手术数据、伴随的癌症治疗、复发率和生存率。
回顾性分析我院过去10年诊断的37例原发性腹膜后肿瘤患者。
计算机断层扫描（CT）是最常使用且最准确的成像技术。83%的患者肿瘤为恶性，17%为良性。73%的病例进行了肿瘤完整切除；最常用的方法是中线剖腹术。在进行根治性切除的病例中，51.8%的患者还切除了邻近器官。接受手术的患者复发率为45%。开放手术后复发的中位时间为23个月。66%的复发病例进行了再次切除。恶性肿瘤完全切除后的5年生存率为44%。再次切除后的患者平均生存时间为9.8个月。
原发性腹膜后肿瘤罕见，通常为恶性。手术是首选治疗方法，肿瘤完整切除是决定预后的主要因素。
