原发性盆腔腹膜后巨大肿瘤26例的治疗分析

Treatment of huge primary retroperitoneal pelvic tumor: a report of 26 cases

目的探讨原发性盆腔腹膜后巨大肿瘤 (直径≥ 10cm)的治疗方法 ,以提高肿瘤切除率。方法回顾性分析 1980～ 2 0 0 0年 2 6例盆腔巨大肿瘤切除病例的临床资料 ,比较良、恶性肿瘤及不同性别患者的肿瘤切除率。结果本组患者的肿瘤切除率为 73% (19/ 2 6 ) ,无手术死亡及严重并发症。结论盆腔巨大肿瘤的有效治疗方法是手术切除 ,女性患者的肿瘤切除率高于男性 ,血管受侵是肿瘤无法切除的主要原因。

ObjectiveTo sum up the experience in the treatment of huge primary retroperitoneal pelvic tumors (diameter≥10 cm), and analyze factors influencing the removal of the tumors during surgical procedures. MethodsA clinical retrospective review of 26 cases with huge primary retroperitoneal pelvic tumors undergoing surgical resection was made during a period of 1980～2000 in our hospital. The rate of tumors resected was compared between benign and malignant, male and female patients. Results The tumor resection rate in this group was 73%(19/26). There was no mortality within 30 days and no severe postoperative complication. Conclusion Resection should be attempted whenever possible for patients suffering from huge pelvic tumors. The resection rate was higher in female patients than that in male patients. Major blood vessels invasion is responsible for low radical resection rate.