原发性腹膜后肿瘤75例诊疗分析

Diagnosis and treatment of primary retroperitoneal tumor:a report of 75 cases

目的 探讨原发性腹膜后肿瘤的诊断及治疗。方法 回顾性分析我院近 2 0年来经手术和病理证实的原发性腹膜后肿瘤 75例。结果 术前确诊率为 57.3 %。B超及CT的诊断率分别为60 .0 %和 84.0 %。恶性肿瘤 57例 ,占 76 .0 % ;良性肿瘤 1 8例 ,占 2 4 .0 %。肿瘤大小与良、恶性无关。肿瘤完整切除 42例 (56 .0 % )。姑息性切除 2 3例 (30 .7% ) ,活检 1 0例 (1 3 .3 % )。结论 B超、CT是诊断本病的重要方法 ,术前准备后尽早手术 ,手术切除是主要治疗方法 。

Objective To evaluate the diagnosis and treatment of primary retroperitoneal tumor. Methods The clinical data of 75 patients with primary retroperitoneal tumor confirmed by operation and pathology in recent 20 years in our hospital were analyzed retrospectively. Results About 57.3% of the patients were diagnosed accurately before the operation. Correct diagnostic rates of ultrasound and CT were 60.0% and 84.0% ,respectively.Of them 57cases(76.0%) were malignant and18 (24.0%) benign tumor. Tumor size was not related to the pathological characteristics.Radical resection was done in 42 patients(56.0%),partial resection in 23 patients (30.7%),and biopsy in 10 patients(13.3%).Conclusions Ultrasonic and CT are the major diagnostic methods. Early operation is recommended after necessary preparation. Surgical resection is a major procedure for the management of primary retroperitoneal tumor and might provide long surrival time.