摘要
原发性良性腹膜后肿瘤相当罕见。我院自１９６４年４月至１９９２年４月，２８年收治原发性良性腹膜后肿瘤９１例。本病的临床特点为：（１）发病率较低，仅占原发性腹膜后肿瘤的２０．０－３１．６％；（２）女性多于男性；（３）病程较长；（４）无症状者较多；（５）病理类型以神经纤维瘤最常见，约占本组的４０％；（６）手术切除率较高、复发率较低。本病解剖部位特殊，发病隐蔽，早期缺乏症状，肿瘤增大后出现的症状也无特异性，除病程较长外，临床上与腹膜后恶性肿瘤鉴别有困难。强调影像学检查，尤其是Ｂ超和ＣＴ对本病的诊断价值。手术是治疗本病的主要方法。我们主张放松剖腹探查指征，并常规作术中冰冻。若为良性肿瘤，也应争取完整切除肿瘤或大部分切除肿瘤，但不应施行危及患者生命的冒险手术。
Primary benign retroperitoneal tum
or(PBRT)is a hetergenous groupof rare mesenchymal neoplasms.From
1964.4 to 1992.4,91 cases of PBRT were adrnit-ted to our hospital.The
PBRT occuped 31.4%of total PRT with84.6%(77/91) of comp-lete resetion
ratc.In our series the PMRT had a peak incidence in the fourth decade
oflife (the mean was 40),the ratio of male and female was 0.6: 1,the
mean disease coursewas l9 months.Surgical resection is main treatment
for PRT expected lyphosarcoma andneuroblastoma.The PBRT had higher
resectability than PMRT(PBRT 84.6 % versus PMRT36.9%)and lower
recurrence(PBRT 11.7 % versus PMRT 74.2%)relatively.We advocatethat
when diagnosis of PBRT was established,complete resection or
“debulking operation”should be performed,second operation or
multiple operations should be done for thesepatients of postoperative
recurrence.To decrese the postoperative recurrence rate,the first
complete resection is important for PBRT,but don’t advocate to do an
aggressivesurgery when the operation has high rick.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1995年第1期36-38,79,共4页
Chinese Journal of Cancer
关键词
腹膜后肿瘤
诊断
治疗
外科手术
Primary
benign retroperitoneal Tumor(PBRT)Diaghosis Treatmemt.
