PDF(Pubmed)
Abstract：
Primary retroperitoneal serous cyst adenomas (PRSCs) are extremely rare thin-walled cystic lesions whose pathogenesis is not well understood. Clinical presentation varies depending on the lesion\'s size and location, i.e., larger lesions compress adjacent organs, giving the impression of malignancy. Although advances in imaging techniques enable to identify various characteristics of retroperitoneal cystic lesions, there are no pathognomonic signs to confirm the diagnosis. The exact diagnosis is based on the histology after complete surgical excision. An open surgical approach is considered the traditional method of complete resection; however, laparoscopic techniques have increasingly been employed. Diagnostic aspiration is discouraged due to the potential risk of seeding if the lesion is malignant. We present the case of a 51-year-old woman who underwent complete excision of a large right retroperitoneal cyst, histologically confirmed as PRSC with a review of the background and management options of this phenomenon.
摘要：
原发性腹膜后浆液性囊肿腺瘤（PRSCs）是极其罕见的薄壁囊性病变，其发病机理尚不清楚。临床表现因病变的大小和位置而异，即，较大的病变压迫邻近的器官，给人恶性肿瘤的印象.尽管成像技术的进步能够识别腹膜后囊性病变的各种特征，没有病理标志来确认诊断。确切的诊断基于完全手术切除后的组织学。开放手术方法被认为是传统的完全切除方法；然而，腹腔镜技术已被越来越多地采用。如果病变是恶性的，则由于播种的潜在风险，不鼓励诊断误吸。我们介绍了一名51岁的女性，她接受了一个巨大的右腹膜后囊肿的完全切除，组织学上证实为PRSC，并回顾了这一现象的背景和管理选择。
