Baraké H, Heymans O, Poortmans M, Allé J L
Département de Chirurgie digestive, Centre Hospitalier Universitaire Brugmann, Bruxelles.
Rev Med Brux. 1996 Dec;17(6):384-8.
Retroperitoneal sarcomas are rare tumors, 25% of them are leiomyosarcomas. On the other hand, 19% of leiomyosarcomas are located in the retroperitoneum. Generally, the diagnosis is made at late stage due to poor symptomatology. Computed tomodensitometry is the most reliable diagnostic procedure. However, the final diagnosis is always obtained after histologic examination. Complete surgical excision is the best treatment. In fact, survival depends on histologic grading and resectability. The roles of radiation therapy and chemotherapy are not yet established.
腹膜后肉瘤是罕见肿瘤,其中25%为平滑肌肉瘤。另一方面,19%的平滑肌肉瘤位于腹膜后。一般来说,由于症状不典型,诊断多在晚期做出。计算机断层密度测定法是最可靠的诊断方法。然而,最终诊断总是在组织学检查后才能得出。完整的手术切除是最佳治疗方法。事实上,生存率取决于组织学分级和可切除性。放疗和化疗的作用尚未明确。