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[腹膜后肿瘤的诊断与治疗]

[Diagnosis and therapy of retroperitoneal tumors].

作者信息

Besznyák I, Rónay P

机构信息

Országos Onkológiai Intézet, Budapest.

出版信息

Orv Hetil. 1993 Jan 17;134(3):115-20.

PMID:8421621
Abstract

Upon detecting 112 retroperitoneal space reducing processes the authors operated on 62 adults with primary retroperitoneal tumours. Of them there were 12 benign and 50 malignant tumours. The diagnostics and complex therapy of these tumours are dealt with. It is established that although the CR, MR, and USG have resulted in a considerable development the therapeutic results are still not far better. In the surgical management of benign lesions total tumour exstirpation is recommended even with extensive multivisceral resections. For tumours of low grade malignancy the authors have the same standpoint. In case of retroperitoneal tumours of high grade malignancy--and a considerable number of patients belongs to this group--the ultraradical interventions are not associated with promising results therefore they are not recommended by the authors. In the complex management of primary retroperitoneal tumours the achievements of radio- and chemotherapy are nowadays rather only promising than notable.

摘要

在检测到112例腹膜后间隙缩小过程后,作者对62例患有原发性腹膜后肿瘤的成年人进行了手术。其中有12例良性肿瘤和50例恶性肿瘤。文中探讨了这些肿瘤的诊断和综合治疗方法。结果表明,尽管计算机断层扫描(CT)、磁共振成像(MR)和超声检查(USG)有了很大发展,但治疗效果仍没有显著改善。对于良性病变的手术治疗,即使需要进行广泛的多脏器切除,也建议将肿瘤完整切除。对于低级别恶性肿瘤,作者持相同观点。对于高级别恶性腹膜后肿瘤——相当一部分患者属于这一组——超根治性干预并未带来理想的结果,因此作者不推荐采用。在原发性腹膜后肿瘤的综合治疗中,放疗和化疗目前的成果更多是有前景而非显著。

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