Schröder H, Schuster H, Markgraf E
Zentralbl Chir. 1986;111(4):207-16.
Symptoms, therapy, and prognosis of primary tumours of the peritoneum are reported in this paper, with reference being made to 86 malignant and 24 benign cases. The palpable tumour, impaired condition, and uncharacteristic abdominal pain were major symptoms. Intravenous urography and selective angiography, complementarily flanked and supported by computer tomography and sonography have proved to be important and valuable diagnostic methods. Only 23 per cent of malignant and 62 per cent of benign tumours were operable. Complete extirpation of the tumour was found to be the only promising therapy. Postoperative lethality after total extirpation amounted to ten per cent. Combination of surgical with radiotherapeutic approaches has proved to be favourable. The five-year survival rate accounted for 9.8 per cent or 44 per cent, following radical surgery.
本文报道了腹膜原发性肿瘤的症状、治疗方法及预后,并参考了86例恶性和24例良性病例。可触及的肿块、身体状况受损及无特征性腹痛是主要症状。静脉尿路造影和选择性血管造影,辅以计算机断层扫描和超声检查,已被证明是重要且有价值的诊断方法。只有23%的恶性肿瘤和62%的良性肿瘤可进行手术。肿瘤的完全切除被认为是唯一有前景的治疗方法。完全切除术后的致死率为10%。手术与放射治疗相结合已被证明是有利的。根治性手术后的五年生存率为9.8%或44%。