期刊文献+

原发性腹膜后肿瘤28例外科治疗 被引量:4

原文传递
导出
摘要 目的:探讨原发性腹膜后肿瘤的诊断及治疗方法。方法:回顾性分析28例原发性腹膜后肿瘤患者的临床资料。结果:原发性腹膜后肿瘤以腹痛、腹胀和腹部包块为主要症状,超声、CT、MRI等影像学检查诊断率高;病理类型为间皮源性、神经源性、胚胎源性;行肿瘤完全切除术20例,其中联合脏器切除术7例,肿瘤部分切除术5例,肿瘤不能切除仅行活组织检查者3例。肿瘤完全切除者术后1,3,5 a生存率分别为73%,66%和47%;5例肿瘤部分切除术者中2例于术后1 a内死亡,3例术后3 a内死亡;仅行活组织检查者均在术后1 a内死亡。结论:综合运用影像学检查明确诊断原发性腹膜后肿瘤后应尽可能手术切除肿瘤,以提高患者生存率。
作者 李广俊 赫鹏
出处 《中华实用诊断与治疗杂志》 2011年第5期514-515,共2页 Journal of Chinese Practical Diagnosis and Therapy
  • 相关文献

参考文献5

二级参考文献20

  • 1郑伟,李荣,王忠臣,郭强,陈凛.下腔静脉平滑肌肉瘤的诊断及外科治疗[J].中国实用外科杂志,2007,27(4):281-283. 被引量:17
  • 2Kato TK, Sakamoto S, Kobayashi T, et al. Primary adrenal leiomyosarcoma with inferior vena cava thrombosis [ J ]. Int J Clin Oncol,2004,9(7) :189 - 192.
  • 3Jenkins MP, Alvaranga JC, Thomas JM, et al. The management of retroperitoneal soft tissue sarcomas[ J]. Eur J Cancer, 1996,32A (4) :622 -626.
  • 4Testini M, Catalano G, Macarini L, et al. Diagnosis and surgical treatment of retroperitoneal tumors [ J ]. Int Surg, 1996,81 ( 1 ) : 88 - 93.
  • 5蒋彦永,罗成华.原发性腹膜后肿瘤外科学-理论与实践[M].北京:人民军医出版社,2005.50-61.
  • 6Van Dalus T, Van Geel AN, Coevorden F, et al. Soft tissue carcinoma in the retroperitoneum: an often neglected diagnosis [ J ]. Eur J Surg Oncol,2001,27 ( 1 ) :74 - 79.
  • 7Wallis F,Gilbert F J. Magnetic resonance imaging in oncology:an overview [ J ]. J R Coil Surg Edinb, 1999,44 ( 2 ) : 117 - 125.
  • 8SHI Ying-qiang,SHEN Zhen-zhou. The problems of diagnosis and treatment on soft tissue sarcoma[J]. Chin J Practic Surg, 1997, 17(6) :323 -325.
  • 9Lund L, Jonler M, Svolgaard N,et al. Laparoscopy-assisted cryoablation of small kidney tumours [ J ]. Ugeskr Laeger, 2007, 169 (6) :517 -520.
  • 10Duncan RE,Evans AT. Diagnosis of primary retroperitoneal tumor[J]. J Urol, 1977,117( 1 ) : 19-23.

共引文献21

同被引文献24

  • 1Dalen T V, Geel A N, Coevorden F V, et al. Soft tissue sarcoma in the retroperitoneum: an often neglected diagnosis [J]. EurJ SurgOncol,2001,27(1):74-78.
  • 2Chu Q D, Johnson L W, Li B D. Management of retroperitoneal soft tissue sarcoma[J]. J La State Med Soc, 2004,156 (2):95-98.
  • 3Raut C, Pisters P W. Retroperitoneal sarcomas: combined- modality treatment approaches[J]. J Surg Oncol, 2006,94 (1) : 81-87.
  • 4Singer S, Antonescu C R, Riedel E, et al. Histologic subtype and margin of resection predict pattern of recurrence and survival for retroperitoneal liposarcoma[J]. Ann Surg, 2003,238(3): 358-371.
  • 5Lahat G, Madewell J E, Anaya D A, et al. Computed tomography scan-driven selection of treatment for retroperitoncal liposarcoma histologic subtypes[J]. Cancer,2009,115(5) : 1081- 1090.
  • 6I.ahat G, Anaya D A, Wang X, et al. Resectable well differentiated versus dedifferentiated liposareomas: two different diseases possibly requiring different treatment approaches [J]. Ann Surg Oneol,2008,15(6) :1585-1593.
  • 7徐果,李涛.原发性腹膜后脂肪肉瘤119例临床分析[J].厦庆医学.20lO,39(19):2651-2652.
  • 8Mussi C, Collini P, Miceli R, et al. The prognostic impact of dedifferentiation in retroperitoneal liposareoma: a series of surgically treated patients at a single institution[J]. Cancer, 2008,113(7) : 1657-1665.
  • 9Park J O, Qin L X, Prete F P, et al. Predicting outcome by growth rate of locally recurrent retroperitoneal liposarcoma: the one centimeter per monthrule[J]. Ann Surg,2009,250(6) :977- 982.
  • 10Ballo M T, Zagars G K, Pollock R E, etal. Retroperitoneal soft tissue sarcoma; an analysis of radiation and surgical treatment [J]. Int J Radiat Oncol Biol Phys,2007,67(1) : 158-163.

引证文献4

二级引证文献4

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部