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.	闫尚伦, 姚状凯, 鲁凯, 等. 原发性腹膜后肿瘤52例诊治分析 [J]. 南京医科大学学报(自然科学版), 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. 原发性腹膜后肿瘤的诊断与治疗 [J]. 山西医药杂志, 2007; 36(6): 451453.
5.	胡巍. 原发性腹膜后肿瘤的诊断与治疗 [J]. 山西医药杂志, 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.	郑伟, 罗成华, 晋援朝, 等. 原发性腹膜后肿瘤352例术后复发多因素分析 [J]. 人民军医, 2004; 47(5): 261262.
9.	郑伟, 罗成华, 晋援朝, 等. 原发性腹膜后肿瘤352例术后复发多因素分析 [J]. 人民军医, 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, 吴泽宇, 万进. 原发性腹膜后脂肪肉瘤23例报道 [J]. 中国普外基础与临床杂志, 2007; 14(6): 704705.
13.	杜嘉林, 吴泽宇, 万进. 原发性腹膜后脂肪肉瘤23例报道 [J]. 中国普外基础与临床杂志, 2007; 14(6): 704705.
14.	黄斌, 赵纪春, 马玉奎. 原发性腹膜后肿瘤的诊断和治疗 [J]. 中国普外基础与临床杂志, 2008; 15(8): 607608.
15.	黄斌, 赵纪春, 马玉奎. 原发性腹膜后肿瘤的诊断和治疗 [J]. 中国普外基础与临床杂志, 2008; 15(8): 607608.
16.	巫佳明, 李万浪, 刘桂, 等. 原发性腹膜后肿瘤28例的诊断与治疗分析 [J]. 中国误诊学杂志, 2009; 9(22): 54895490.
17.	巫佳明, 李万浪, 刘桂, 等. 原发性腹膜后肿瘤28例的诊断与治疗分析 [J]. 中国误诊学杂志, 2009; 9(22): 54895490.
18.	姜礼. 腹膜后肿瘤2例报告 [J]. 中国普外基础与临床杂志, 2003; 10(4): 358.
19.	姜礼. 腹膜后肿瘤2例报告 [J]. 中国普外基础与临床杂志, 2003; 10(4): 358.
20.	覃谦, 施开德, 庄晓泉, 等. 原发性腹膜后肿瘤的诊断与外科治疗 [J]. 中华普通外科杂志, 2005; 20(1): 3335.
21.	覃谦, 施开德, 庄晓泉, 等. 原发性腹膜后肿瘤的诊断与外科治疗 [J]. 中华普通外科杂志, 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.	韩锡林, 寇昌华, 田庆中, 等. 原发性腹膜后肿瘤60例诊治分析 [J]. 中国实用外科杂志, 2008; 28(4): 278279, 294.
27.	韩锡林, 寇昌华, 田庆中, 等. 原发性腹膜后肿瘤60例诊治分析 [J]. 中国实用外科杂志, 2008; 28(4): 278279, 294.
28.	李荣. 腹膜后肿瘤外科治疗原则与策略 [J]. 中国实用外科杂志, 2008; 28(4): 246248.
29.	李荣. 腹膜后肿瘤外科治疗原则与策略 [J]. 中国实用外科杂志, 2008; 28(4): 246248.
30.	云峰, 刘新江, 周百中. 原发性腹膜后肿瘤49例诊断和治疗体会 [J]. 腹部外科, 2006; 19(5): 279280.
31.	云峰, 刘新江, 周百中. 原发性腹膜后肿瘤49例诊断和治疗体会 [J]. 腹部外科, 2006; 19(5): 279280.
32.	陈春球, 尹路, 彭承宏, 等. 原发性腹膜后肿瘤107例治疗与预后分析 [J]. 中国实用外科杂志, 2006; 26(11): 850851.
33.	陈春球, 尹路, 彭承宏, 等. 原发性腹膜后肿瘤107例治疗与预后分析 [J]. 中国实用外科杂志, 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.	杨关天, 张晓文, 胡向农, 等. 原发性腹膜后肿瘤的诊断和治疗 [J]. 江苏医药, 2010; 36(1): 4749.
37.	杨关天, 张晓文, 胡向农, 等. 原发性腹膜后肿瘤的诊断和治疗 [J]. 江苏医药, 2010; 36(1): 4749.
38.	何裕隆. 腹膜后肿瘤治疗方案设计及术前准备 [J]. 中国实用外科杂志, 2008; 28(4): 256258.
39.	何裕隆. 腹膜后肿瘤治疗方案设计及术前准备 [J]. 中国实用外科杂志, 2008; 28(4): 256258.
40.	曹晖, 赵恩昊, 孙勇伟, 等. 原发性腹膜后肿瘤71例的诊断和治疗 [J]. 中华普通外科杂志, 2005; 20(9): 575577.
41.	曹晖, 赵恩昊, 孙勇伟, 等. 原发性腹膜后肿瘤71例的诊断和治疗 [J]. 中华普通外科杂志, 2005; 20(9): 575577.
42.	王准, 朱春富, 张京平, 等. 原发性腹膜后肿瘤26例临床诊治分析 [J]. 中国现代医药杂志, 2009; 11(11): 6567.
43.	王准, 朱春富, 张京平, 等. 原发性腹膜后肿瘤26例临床诊治分析 [J]. 中国现代医药杂志, 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.	许元鸿, 郭克建, 马明辉, 等. 98 例成人原发性腹膜后恶性肿瘤的诊治分析 [J]. 中华外科杂志, 2007; 45(11): 756758.[1]闫尚伦, 姚状凯, 鲁凯, 等. 原发性腹膜后肿瘤52例诊治分析 [J]. 南京医科大学学报(自然科学版), 2009; 29(12): 17771778.
47.	许元鸿, 郭克建, 马明辉, 等. 98 例成人原发性腹膜后恶性肿瘤的诊治分析 [J]. 中华外科杂志, 2007; 45(11): 756758.

1. 闫尚伦, 姚状凯, 鲁凯, 等. 原发性腹膜后肿瘤52例诊治分析 [J]. 南京医科大学学报(自然科学版), 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. 原发性腹膜后肿瘤的诊断与治疗 [J]. 山西医药杂志, 2007; 36(6): 451453.
5. 胡巍. 原发性腹膜后肿瘤的诊断与治疗 [J]. 山西医药杂志, 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. 郑伟, 罗成华, 晋援朝, 等. 原发性腹膜后肿瘤352例术后复发多因素分析 [J]. 人民军医, 2004; 47(5): 261262.
9. 郑伟, 罗成华, 晋援朝, 等. 原发性腹膜后肿瘤352例术后复发多因素分析 [J]. 人民军医, 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, 吴泽宇, 万进. 原发性腹膜后脂肪肉瘤23例报道 [J]. 中国普外基础与临床杂志, 2007; 14(6): 704705.
13. 杜嘉林, 吴泽宇, 万进. 原发性腹膜后脂肪肉瘤23例报道 [J]. 中国普外基础与临床杂志, 2007; 14(6): 704705.
14. 黄斌, 赵纪春, 马玉奎. 原发性腹膜后肿瘤的诊断和治疗 [J]. 中国普外基础与临床杂志, 2008; 15(8): 607608.
15. 黄斌, 赵纪春, 马玉奎. 原发性腹膜后肿瘤的诊断和治疗 [J]. 中国普外基础与临床杂志, 2008; 15(8): 607608.
16. 巫佳明, 李万浪, 刘桂, 等. 原发性腹膜后肿瘤28例的诊断与治疗分析 [J]. 中国误诊学杂志, 2009; 9(22): 54895490.
17. 巫佳明, 李万浪, 刘桂, 等. 原发性腹膜后肿瘤28例的诊断与治疗分析 [J]. 中国误诊学杂志, 2009; 9(22): 54895490.
18. 姜礼. 腹膜后肿瘤2例报告 [J]. 中国普外基础与临床杂志, 2003; 10(4): 358.
19. 姜礼. 腹膜后肿瘤2例报告 [J]. 中国普外基础与临床杂志, 2003; 10(4): 358.
20. 覃谦, 施开德, 庄晓泉, 等. 原发性腹膜后肿瘤的诊断与外科治疗 [J]. 中华普通外科杂志, 2005; 20(1): 3335.
21. 覃谦, 施开德, 庄晓泉, 等. 原发性腹膜后肿瘤的诊断与外科治疗 [J]. 中华普通外科杂志, 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. 韩锡林, 寇昌华, 田庆中, 等. 原发性腹膜后肿瘤60例诊治分析 [J]. 中国实用外科杂志, 2008; 28(4): 278279, 294.
27. 韩锡林, 寇昌华, 田庆中, 等. 原发性腹膜后肿瘤60例诊治分析 [J]. 中国实用外科杂志, 2008; 28(4): 278279, 294.
28. 李荣. 腹膜后肿瘤外科治疗原则与策略 [J]. 中国实用外科杂志, 2008; 28(4): 246248.
29. 李荣. 腹膜后肿瘤外科治疗原则与策略 [J]. 中国实用外科杂志, 2008; 28(4): 246248.
30. 云峰, 刘新江, 周百中. 原发性腹膜后肿瘤49例诊断和治疗体会 [J]. 腹部外科, 2006; 19(5): 279280.
31. 云峰, 刘新江, 周百中. 原发性腹膜后肿瘤49例诊断和治疗体会 [J]. 腹部外科, 2006; 19(5): 279280.
32. 陈春球, 尹路, 彭承宏, 等. 原发性腹膜后肿瘤107例治疗与预后分析 [J]. 中国实用外科杂志, 2006; 26(11): 850851.
33. 陈春球, 尹路, 彭承宏, 等. 原发性腹膜后肿瘤107例治疗与预后分析 [J]. 中国实用外科杂志, 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. 杨关天, 张晓文, 胡向农, 等. 原发性腹膜后肿瘤的诊断和治疗 [J]. 江苏医药, 2010; 36(1): 4749.
37. 杨关天, 张晓文, 胡向农, 等. 原发性腹膜后肿瘤的诊断和治疗 [J]. 江苏医药, 2010; 36(1): 4749.
38. 何裕隆. 腹膜后肿瘤治疗方案设计及术前准备 [J]. 中国实用外科杂志, 2008; 28(4): 256258.
39. 何裕隆. 腹膜后肿瘤治疗方案设计及术前准备 [J]. 中国实用外科杂志, 2008; 28(4): 256258.
40. 曹晖, 赵恩昊, 孙勇伟, 等. 原发性腹膜后肿瘤71例的诊断和治疗 [J]. 中华普通外科杂志, 2005; 20(9): 575577.
41. 曹晖, 赵恩昊, 孙勇伟, 等. 原发性腹膜后肿瘤71例的诊断和治疗 [J]. 中华普通外科杂志, 2005; 20(9): 575577.
42. 王准, 朱春富, 张京平, 等. 原发性腹膜后肿瘤26例临床诊治分析 [J]. 中国现代医药杂志, 2009; 11(11): 6567.
43. 王准, 朱春富, 张京平, 等. 原发性腹膜后肿瘤26例临床诊治分析 [J]. 中国现代医药杂志, 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. 许元鸿, 郭克建, 马明辉, 等. 98 例成人原发性腹膜后恶性肿瘤的诊治分析 [J]. 中华外科杂志, 2007; 45(11): 756758.[1]闫尚伦, 姚状凯, 鲁凯, 等. 原发性腹膜后肿瘤52例诊治分析 [J]. 南京医科大学学报(自然科学版), 2009; 29(12): 17771778.
47. 许元鸿, 郭克建, 马明辉, 等. 98 例成人原发性腹膜后恶性肿瘤的诊治分析 [J]. 中华外科杂志, 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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