Duncan R E, Evans A T
J Urol. 1977 Jan;117(1):19-23. doi: 10.1016/s0022-5347(17)58323-8.
An analysis of 27 cases of primary retroperitoneal tumors and a review of the literature are presented. Techniques available for the diagnosis of these neoplasms are discussed. Sarcoma is the most common histopathologic type. A painful abdominal mass is the characteristic presentation. Echography, angiography and carbon dioxide pneumography may provide specific diagnostic information but further histopathologic correlation is needed. Angiography should guide the surgical approach routinely. Surgical excision is the treatment of choice for all tumors except for the lymphomas, which are radiosensitive. Radiotherapy has liberal application in the treatment of other histopathologic types.
本文对27例原发性腹膜后肿瘤进行了分析并复习了相关文献。讨论了可用于诊断这些肿瘤的技术。肉瘤是最常见的组织病理学类型。腹部疼痛性肿块是其特征性表现。超声检查、血管造影和二氧化碳充气造影可能提供特定的诊断信息,但仍需要进一步的组织病理学关联。血管造影应常规指导手术入路。除淋巴瘤对放疗敏感外,手术切除是所有肿瘤的首选治疗方法。放疗在治疗其他组织病理学类型中广泛应用。