Experience on Diagnosis and Treatment of 69 Cases of Primary Retroperitoneal Tumors_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YU Shiliang , WANG Jian , HU Xingming , LIU Xianwu.

Department of General Surgery, The Second Affiliated Hospital of Xuzhou Medical College, Xuzhou 221006, Jiangsu Province, ChinaDepartment of General Surgery, The Second Affiliated Hospital of Xuzhou Medical College, Xuzhou 221006, Jiangsu Province, China;

Corresponding?author：

Keywords：

Primary retroperitoneal tumor; Diagnosis; Treatment; Surgery; Prognosis; Recurrence

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Objective To summarize the experience in diagnosis and treatment of primary retroperitoneal tumor (PRT). Methods Clinical data of 69 patients with PRT from June 1998 to June 2008 were analyzed retrospectively. Results Bellyache, abdominal distention, and abdominal mass were common symptoms in the patients with PRT. Ultrasound, CT, and MRI examination were effective. The major histopathological classification was soft tissue tumor, germinoma, lymphatic hematopoietic system tumors, and other rare tumors. Complete resection of tumors was performed in 42 cases, combined organs resection in 10 cases, partial resection of tumors in 11 cases, and only biopsy in 6 cases. There were 10 cases of intraoperative vessel and organ injury, which were treated by repair or vessels suturing and combined organ resection. Postoperative complications occurred in 8 cases, which were cured by conservative treatment. One patient died of hemorrhage acute stress ulcer combined multiple organ failure. The survival rates of 1, 3, and 5 years in patients underwent complete resection of tumors were 71%, 64%, and 46%, respectively. Of 11 patients underwent partial resection of tumors, 8 cases died within one year, and 3 cases died within 3 years after operation. All malignant tumor patients treated by biopsy died within one year after operation.
Conclusion Synthetically using imaging examination may diagnose definitely, and to resect tumors as much as possible will improve patients’ survival.

Citation： YU Shiliang,WANG Jian,HU Xingming,LIU Xianwu.. Experience on Diagnosis and Treatment of 69 Cases of Primary Retroperitoneal Tumors. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(8): 832-836. doi: Copy

1.	閆尚倫, 姚狀凱, 魯凱, 等. 原發性腹膜后腫瘤52例診治分析 [J]. 南京醫科大學學報(自然科學版), 2009; 29(12): 17771778.
2.	Eder F, Halloul Z, Meyer F, et al. Surgery of inferior vena cava associated malignant tumor lesions [J]. Vasa, 2008; 37(1): 6880.
3.	Eder F, Halloul Z, Meyer F, et al. Surgery of inferior vena cava associated malignant tumor lesions [J]. Vasa, 2008; 37(1): 6880.
4.	胡巍. 原發性腹膜后腫瘤的診斷與治療 [J]. 山西醫藥雜志, 2007; 36(6): 451453.
5.	胡巍. 原發性腹膜后腫瘤的診斷與治療 [J]. 山西醫藥雜志, 2007; 36(6): 451453.
6.	Chu QD, Johnson LW, Li BD. Management of retroperitoneal softtissue sarcoma [J]. J La State Med Soc, 2004; 156(2): 9598.
7.	Chu QD, Johnson LW, Li BD. Management of retroperitoneal softtissue sarcoma [J]. J La State Med Soc, 2004; 156(2): 9598.
8.	鄭偉, 羅成華, 晉援朝, 等. 原發性腹膜后腫瘤352例術后復發多因素分析 [J]. 人民軍醫, 2004; 47(5): 261262.
9.	鄭偉, 羅成華, 晉援朝, 等. 原發性腹膜后腫瘤352例術后復發多因素分析 [J]. 人民軍醫, 2004; 47(5): 261262.
10.	Neuhaus SJ, Barry P, Clark MA, et al. Surgical management of primary and recurrent retroperitoneal liposarcoma [J]. Br J Surg, 2005; 92(2): 246252.
11.	Neuhaus SJ, Barry P, Clark MA, et al. Surgical management of primary and recurrent retroperitoneal liposarcoma [J]. Br J Surg, 2005; 92(2): 246252.
12.	杜嘉林, 吳澤宇, 萬進. 原發性腹膜后脂肪肉瘤23例報道 [J]. 中國普外基礎與臨床雜志, 2007; 14(6): 704705.
13.	杜嘉林, 吳澤宇, 萬進. 原發性腹膜后脂肪肉瘤23例報道 [J]. 中國普外基礎與臨床雜志, 2007; 14(6): 704705.
14.	黃斌, 趙紀春, 馬玉奎. 原發性腹膜后腫瘤的診斷和治療 [J]. 中國普外基礎與臨床雜志, 2008; 15(8): 607608.
15.	黃斌, 趙紀春, 馬玉奎. 原發性腹膜后腫瘤的診斷和治療 [J]. 中國普外基礎與臨床雜志, 2008; 15(8): 607608.
16.	巫佳明, 李萬浪, 劉桂, 等. 原發性腹膜后腫瘤28例的診斷與治療分析 [J]. 中國誤診學雜志, 2009; 9(22): 54895490.
17.	巫佳明, 李萬浪, 劉桂, 等. 原發性腹膜后腫瘤28例的診斷與治療分析 [J]. 中國誤診學雜志, 2009; 9(22): 54895490.
18.	姜禮. 腹膜后腫瘤2例報告 [J]. 中國普外基礎與臨床雜志, 2003; 10(4): 358.
19.	姜禮. 腹膜后腫瘤2例報告 [J]. 中國普外基礎與臨床雜志, 2003; 10(4): 358.
20.	覃謙, 施開德, 莊曉泉, 等. 原發性腹膜后腫瘤的診斷與外科治療 [J]. 中華普通外科雜志, 2005; 20(1): 3335.
21.	覃謙, 施開德, 莊曉泉, 等. 原發性腹膜后腫瘤的診斷與外科治療 [J]. 中華普通外科雜志, 2005; 20(1): 3335.
22.	Pestieau SR, Jelinek JS, Chang D, et al. CT in the selection of patients with abdominal or pelvic sarcoma for reoperative surgery [J]. J Am Coll Surg, 2000; 190(6): 700710.
23.	Pestieau SR, Jelinek JS, Chang D, et al. CT in the selection of patients with abdominal or pelvic sarcoma for reoperative surgery [J]. J Am Coll Surg, 2000; 190(6): 700710.
24.	Nishimura H, Zhang Y, Ohkuma K, et al. MR imaging of softtissue masses of the extraperitoneal spaces [J]. Radiographics, 2001; 21(5): 11411154.
25.	Nishimura H, Zhang Y, Ohkuma K, et al. MR imaging of softtissue masses of the extraperitoneal spaces [J]. Radiographics, 2001; 21(5): 11411154.
26.	韓錫林, 寇昌華, 田慶中, 等. 原發性腹膜后腫瘤60例診治分析 [J]. 中國實用外科雜志, 2008; 28(4): 278279, 294.
27.	韓錫林, 寇昌華, 田慶中, 等. 原發性腹膜后腫瘤60例診治分析 [J]. 中國實用外科雜志, 2008; 28(4): 278279, 294.
28.	李榮. 腹膜后腫瘤外科治療原則與策略 [J]. 中國實用外科雜志, 2008; 28(4): 246248.
29.	李榮. 腹膜后腫瘤外科治療原則與策略 [J]. 中國實用外科雜志, 2008; 28(4): 246248.
30.	云峰, 劉新江, 周百中. 原發性腹膜后腫瘤49例診斷和治療體會 [J]. 腹部外科, 2006; 19(5): 279280.
31.	云峰, 劉新江, 周百中. 原發性腹膜后腫瘤49例診斷和治療體會 [J]. 腹部外科, 2006; 19(5): 279280.
32.	陳春球, 尹路, 彭承宏, 等. 原發性腹膜后腫瘤107例治療與預后分析 [J]. 中國實用外科雜志, 2006; 26(11): 850851.
33.	陳春球, 尹路, 彭承宏, 等. 原發性腹膜后腫瘤107例治療與預后分析 [J]. 中國實用外科雜志, 2006; 26(11): 850851.
34.	Hirasaki S, Moriwaki T, Tsuzuki T, et al. Extragonadal retroperitoneal embryonal carcinoma successfully treated with chemotherapy [J]. Intern Med, 2003; 42 (11): 11221126.
35.	Hirasaki S, Moriwaki T, Tsuzuki T, et al. Extragonadal retroperitoneal embryonal carcinoma successfully treated with chemotherapy [J]. Intern Med, 2003; 42 (11): 11221126.
36.	楊關天, 張曉文, 胡向農, 等. 原發性腹膜后腫瘤的診斷和治療 [J]. 江蘇醫藥, 2010; 36(1): 4749.
37.	楊關天, 張曉文, 胡向農, 等. 原發性腹膜后腫瘤的診斷和治療 [J]. 江蘇醫藥, 2010; 36(1): 4749.
38.	何裕隆. 腹膜后腫瘤治療方案設計及術前準備 [J]. 中國實用外科雜志, 2008; 28(4): 256258.
39.	何裕隆. 腹膜后腫瘤治療方案設計及術前準備 [J]. 中國實用外科雜志, 2008; 28(4): 256258.
40.	曹暉, 趙恩昊, 孫勇偉, 等. 原發性腹膜后腫瘤71例的診斷和治療 [J]. 中華普通外科雜志, 2005; 20(9): 575577.
41.	曹暉, 趙恩昊, 孫勇偉, 等. 原發性腹膜后腫瘤71例的診斷和治療 [J]. 中華普通外科雜志, 2005; 20(9): 575577.
42.	王準, 朱春富, 張京平, 等. 原發性腹膜后腫瘤26例臨床診治分析 [J]. 中國現代醫藥雜志, 2009; 11(11): 6567.
43.	王準, 朱春富, 張京平, 等. 原發性腹膜后腫瘤26例臨床診治分析 [J]. 中國現代醫藥雜志, 2009; 11(11): 6567.
44.	Fueglistaler P, Gurke L, Stierli P, et al. Major vascular resection and prosthetic replacement for retroperitoneal tumors [J]. World J Surg, 2006; 30(7): 13441349.
45.	Fueglistaler P, Gurke L, Stierli P, et al. Major vascular resection and prosthetic replacement for retroperitoneal tumors [J]. World J Surg, 2006; 30(7): 13441349.
46.	許元鴻, 郭克建, 馬明輝, 等. 98 例成人原發性腹膜后惡性腫瘤的診治分析 [J]. 中華外科雜志, 2007; 45(11): 756758.[1]閆尚倫, 姚狀凱, 魯凱, 等. 原發性腹膜后腫瘤52例診治分析 [J]. 南京醫科大學學報(自然科學版), 2009; 29(12): 17771778.
47.	許元鴻, 郭克建, 馬明輝, 等. 98 例成人原發性腹膜后惡性腫瘤的診治分析 [J]. 中華外科雜志, 2007; 45(11): 756758.

1. 閆尚倫, 姚狀凱, 魯凱, 等. 原發性腹膜后腫瘤52例診治分析 [J]. 南京醫科大學學報(自然科學版), 2009; 29(12): 17771778.
2. Eder F, Halloul Z, Meyer F, et al. Surgery of inferior vena cava associated malignant tumor lesions [J]. Vasa, 2008; 37(1): 6880.
3. Eder F, Halloul Z, Meyer F, et al. Surgery of inferior vena cava associated malignant tumor lesions [J]. Vasa, 2008; 37(1): 6880.
4. 胡巍. 原發性腹膜后腫瘤的診斷與治療 [J]. 山西醫藥雜志, 2007; 36(6): 451453.
5. 胡巍. 原發性腹膜后腫瘤的診斷與治療 [J]. 山西醫藥雜志, 2007; 36(6): 451453.
6. Chu QD, Johnson LW, Li BD. Management of retroperitoneal softtissue sarcoma [J]. J La State Med Soc, 2004; 156(2): 9598.
7. Chu QD, Johnson LW, Li BD. Management of retroperitoneal softtissue sarcoma [J]. J La State Med Soc, 2004; 156(2): 9598.
8. 鄭偉, 羅成華, 晉援朝, 等. 原發性腹膜后腫瘤352例術后復發多因素分析 [J]. 人民軍醫, 2004; 47(5): 261262.
9. 鄭偉, 羅成華, 晉援朝, 等. 原發性腹膜后腫瘤352例術后復發多因素分析 [J]. 人民軍醫, 2004; 47(5): 261262.
10. Neuhaus SJ, Barry P, Clark MA, et al. Surgical management of primary and recurrent retroperitoneal liposarcoma [J]. Br J Surg, 2005; 92(2): 246252.
11. Neuhaus SJ, Barry P, Clark MA, et al. Surgical management of primary and recurrent retroperitoneal liposarcoma [J]. Br J Surg, 2005; 92(2): 246252.
12. 杜嘉林, 吳澤宇, 萬進. 原發性腹膜后脂肪肉瘤23例報道 [J]. 中國普外基礎與臨床雜志, 2007; 14(6): 704705.
13. 杜嘉林, 吳澤宇, 萬進. 原發性腹膜后脂肪肉瘤23例報道 [J]. 中國普外基礎與臨床雜志, 2007; 14(6): 704705.
14. 黃斌, 趙紀春, 馬玉奎. 原發性腹膜后腫瘤的診斷和治療 [J]. 中國普外基礎與臨床雜志, 2008; 15(8): 607608.
15. 黃斌, 趙紀春, 馬玉奎. 原發性腹膜后腫瘤的診斷和治療 [J]. 中國普外基礎與臨床雜志, 2008; 15(8): 607608.
16. 巫佳明, 李萬浪, 劉桂, 等. 原發性腹膜后腫瘤28例的診斷與治療分析 [J]. 中國誤診學雜志, 2009; 9(22): 54895490.
17. 巫佳明, 李萬浪, 劉桂, 等. 原發性腹膜后腫瘤28例的診斷與治療分析 [J]. 中國誤診學雜志, 2009; 9(22): 54895490.
18. 姜禮. 腹膜后腫瘤2例報告 [J]. 中國普外基礎與臨床雜志, 2003; 10(4): 358.
19. 姜禮. 腹膜后腫瘤2例報告 [J]. 中國普外基礎與臨床雜志, 2003; 10(4): 358.
20. 覃謙, 施開德, 莊曉泉, 等. 原發性腹膜后腫瘤的診斷與外科治療 [J]. 中華普通外科雜志, 2005; 20(1): 3335.
21. 覃謙, 施開德, 莊曉泉, 等. 原發性腹膜后腫瘤的診斷與外科治療 [J]. 中華普通外科雜志, 2005; 20(1): 3335.
22. Pestieau SR, Jelinek JS, Chang D, et al. CT in the selection of patients with abdominal or pelvic sarcoma for reoperative surgery [J]. J Am Coll Surg, 2000; 190(6): 700710.
23. Pestieau SR, Jelinek JS, Chang D, et al. CT in the selection of patients with abdominal or pelvic sarcoma for reoperative surgery [J]. J Am Coll Surg, 2000; 190(6): 700710.
24. Nishimura H, Zhang Y, Ohkuma K, et al. MR imaging of softtissue masses of the extraperitoneal spaces [J]. Radiographics, 2001; 21(5): 11411154.
25. Nishimura H, Zhang Y, Ohkuma K, et al. MR imaging of softtissue masses of the extraperitoneal spaces [J]. Radiographics, 2001; 21(5): 11411154.
26. 韓錫林, 寇昌華, 田慶中, 等. 原發性腹膜后腫瘤60例診治分析 [J]. 中國實用外科雜志, 2008; 28(4): 278279, 294.
27. 韓錫林, 寇昌華, 田慶中, 等. 原發性腹膜后腫瘤60例診治分析 [J]. 中國實用外科雜志, 2008; 28(4): 278279, 294.
28. 李榮. 腹膜后腫瘤外科治療原則與策略 [J]. 中國實用外科雜志, 2008; 28(4): 246248.
29. 李榮. 腹膜后腫瘤外科治療原則與策略 [J]. 中國實用外科雜志, 2008; 28(4): 246248.
30. 云峰, 劉新江, 周百中. 原發性腹膜后腫瘤49例診斷和治療體會 [J]. 腹部外科, 2006; 19(5): 279280.
31. 云峰, 劉新江, 周百中. 原發性腹膜后腫瘤49例診斷和治療體會 [J]. 腹部外科, 2006; 19(5): 279280.
32. 陳春球, 尹路, 彭承宏, 等. 原發性腹膜后腫瘤107例治療與預后分析 [J]. 中國實用外科雜志, 2006; 26(11): 850851.
33. 陳春球, 尹路, 彭承宏, 等. 原發性腹膜后腫瘤107例治療與預后分析 [J]. 中國實用外科雜志, 2006; 26(11): 850851.
34. Hirasaki S, Moriwaki T, Tsuzuki T, et al. Extragonadal retroperitoneal embryonal carcinoma successfully treated with chemotherapy [J]. Intern Med, 2003; 42 (11): 11221126.
35. Hirasaki S, Moriwaki T, Tsuzuki T, et al. Extragonadal retroperitoneal embryonal carcinoma successfully treated with chemotherapy [J]. Intern Med, 2003; 42 (11): 11221126.
36. 楊關天, 張曉文, 胡向農, 等. 原發性腹膜后腫瘤的診斷和治療 [J]. 江蘇醫藥, 2010; 36(1): 4749.
37. 楊關天, 張曉文, 胡向農, 等. 原發性腹膜后腫瘤的診斷和治療 [J]. 江蘇醫藥, 2010; 36(1): 4749.
38. 何裕隆. 腹膜后腫瘤治療方案設計及術前準備 [J]. 中國實用外科雜志, 2008; 28(4): 256258.
39. 何裕隆. 腹膜后腫瘤治療方案設計及術前準備 [J]. 中國實用外科雜志, 2008; 28(4): 256258.
40. 曹暉, 趙恩昊, 孫勇偉, 等. 原發性腹膜后腫瘤71例的診斷和治療 [J]. 中華普通外科雜志, 2005; 20(9): 575577.
41. 曹暉, 趙恩昊, 孫勇偉, 等. 原發性腹膜后腫瘤71例的診斷和治療 [J]. 中華普通外科雜志, 2005; 20(9): 575577.
42. 王準, 朱春富, 張京平, 等. 原發性腹膜后腫瘤26例臨床診治分析 [J]. 中國現代醫藥雜志, 2009; 11(11): 6567.
43. 王準, 朱春富, 張京平, 等. 原發性腹膜后腫瘤26例臨床診治分析 [J]. 中國現代醫藥雜志, 2009; 11(11): 6567.
44. Fueglistaler P, Gurke L, Stierli P, et al. Major vascular resection and prosthetic replacement for retroperitoneal tumors [J]. World J Surg, 2006; 30(7): 13441349.
45. Fueglistaler P, Gurke L, Stierli P, et al. Major vascular resection and prosthetic replacement for retroperitoneal tumors [J]. World J Surg, 2006; 30(7): 13441349.
46. 許元鴻, 郭克建, 馬明輝, 等. 98 例成人原發性腹膜后惡性腫瘤的診治分析 [J]. 中華外科雜志, 2007; 45(11): 756758.[1]閆尚倫, 姚狀凱, 魯凱, 等. 原發性腹膜后腫瘤52例診治分析 [J]. 南京醫科大學學報(自然科學版), 2009; 29(12): 17771778.
47. 許元鴻, 郭克建, 馬明輝, 等. 98 例成人原發性腹膜后惡性腫瘤的診治分析 [J]. 中華外科雜志, 2007; 45(11): 756758.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Experience on Diagnosis and Treatment of 69 Cases of Primary Retroperitoneal Tumors

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