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原发性腹膜后鳞状细胞癌:文献复习。

Primary retroperitoneal squamous cell carcinoma: a literature review.

机构信息

Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Cancer Res Clin Oncol. 2023 Oct;149(13):12507-12512. doi: 10.1007/s00432-023-04969-8. Epub 2023 Jun 23.

DOI:10.1007/s00432-023-04969-8
PMID:37353604
Abstract

PURPOSE

Retroperitoneal squamous cell carcinoma is an extremely rare histological variant of retroperitoneal tumors. The exact etiology and origin of the same is still unknown. To date, only a few case reports have been published in the literature. Due to rarity, standard treatment protocol is not available. The article aims to review the literature and treatment options available for this uncommon entity, based on available data.

METHODS

We searched the databases like PubMed, PubMed Central, Scopus, and Google Scholar with the keywords "Squamous cell carcinoma" and "retroperitoneal tumors". Peer-reviewed and recent articles were screened.

RESULTS

Seven relevant articles comprising 14 cases were found. Due to the small number of reports, tabulation of treatment details and outcome was done. Like the sarcoma variant, these tumors also present with a large mass in the abdomen and abdominal discomfort. Association with human papillomavirus appears to be the most common factor that gives rise to squamous histology.

CONCLUSION

Retroperitoneal SCC is an uncommonly diagnosed entity. Although no specific treatment guidelines exist for this uncommon malignancy; surgery followed by adjuvant or definitive radiotherapy with concurrent chemotherapy (in inoperable cases) seems a feasible option. Multicentre trials should be conducted for establishing definitive treatment strategies for this ailment.

摘要

目的

腹膜后鳞状细胞癌是腹膜后肿瘤一种极为罕见的组织学亚型。其确切的病因和来源仍不清楚。迄今为止,文献中仅发表了少数几例病例报告。由于其罕见性,目前尚无标准的治疗方案。本文旨在根据现有数据,对这一罕见实体的文献和可用治疗选择进行回顾。

方法

我们使用“鳞状细胞癌”和“腹膜后肿瘤”等关键词在 PubMed、PubMed Central、Scopus 和 Google Scholar 等数据库中进行了检索。筛选了同行评议的近期文章。

结果

共发现 7 篇相关文章,其中包含 14 例病例。由于报告数量较少,我们对治疗细节和结果进行了制表。与肉瘤变体一样,这些肿瘤也在腹部出现大肿块和腹部不适。人乳头瘤病毒的相关性似乎是导致鳞状组织学的最常见因素。

结论

腹膜后 SCC 是一种罕见的诊断实体。虽然对于这种罕见的恶性肿瘤尚无特定的治疗指南,但似乎可以选择手术联合辅助或根治性放疗,并在不可手术的情况下联合化疗。应该进行多中心试验,以确定这种疾病的明确治疗策略。

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引用本文的文献

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Case report: HPV related pelvic retroperitoneal squamous cell cancer of unknown primary presenting as ovary neoplasm.病例报告:人乳头瘤病毒相关的盆腔腹膜后原发性不明的鳞状细胞癌,表现为卵巢肿瘤。
Int J Surg Case Rep. 2024 Dec;125:110528. doi: 10.1016/j.ijscr.2024.110528. Epub 2024 Oct 28.

本文引用的文献

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Retroperitoneal Squamous Cell Carcinoma Involving the Pelvic Side Wall Arising from Endometriosis: A Case Report.腹膜后鳞状细胞癌累及源自子宫内膜异位症的骨盆侧壁:一例报告。
Gynecol Obstet Invest. 2022;87(2):159-164. doi: 10.1159/000520983. Epub 2022 Feb 2.
2
Primary retroperitoneal squamous cell carcinoma: a case report with review of the literature.原发性腹膜后鳞状细胞癌:一例病例报告并文献复习
Int Cancer Conf J. 2019 Jan 23;8(2):61-65. doi: 10.1007/s13691-018-00354-2. eCollection 2019 Apr.
3
Pelvic squamous cell carcinoma of unknown primary: a case report and review of the literature.
原发灶不明的盆腔鳞状细胞癌:一例病例报告及文献复习
Eur J Gynaecol Oncol. 2016;37(3):430-3.
4
Three cases of women with HPV-related squamous cell carcinoma of unknown primary in the pelvis and retroperitoneum: A case series.三例盆腔和腹膜后HPV相关原发性不明的鳞状细胞癌女性病例:病例系列
Gynecol Oncol Rep. 2016 Jan 28;16:5-8. doi: 10.1016/j.gore.2016.01.005. eCollection 2016 Apr.
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HPV-Related Retroperitoneal Squamous Cell Carcinoma of Unknown Primary: A Case Report.人乳头瘤病毒相关的原发性不明的腹膜后鳞状细胞癌:一例报告
Cancer Res Treat. 2015 Oct;47(4):954-7. doi: 10.4143/crt.2014.111. Epub 2015 Feb 17.
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Retroperitoneal tumors in the pelvis: a diagnostic challenge in gynecology.盆腔腹膜后肿瘤:妇科领域的诊断难题
Front Surg. 2014 Dec 5;1:49. doi: 10.3389/fsurg.2014.00049. eCollection 2014.
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Solid malignant retroperitoneal masses-a pictorial review.实性恶性腹膜后肿块——影像学综述。
Insights Imaging. 2014 Feb;5(1):53-65. doi: 10.1007/s13244-013-0294-0. Epub 2013 Nov 29.
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Squamous metaplasia of the peritoneum: report of a case.腹膜鳞状化生:一例报告
Int J Surg Pathol. 2013 Feb;21(1):82-4. doi: 10.1177/1066896912450316. Epub 2012 Jun 20.
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Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging.腹膜和腹膜后解剖及其与横断影像学的相关性。
Radiographics. 2012 Mar-Apr;32(2):437-51. doi: 10.1148/rg.322115032.
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Retroperitoneal tumours: review of management.腹膜后肿瘤:治疗综述
Ann R Coll Surg Engl. 2011 May;93(4):275-80. doi: 10.1308/003588411X571944.