背景:原发性腹膜后肿瘤(PRT)是起源于腹膜后的罕见软组织肿瘤。尽管最近在诊断和治疗方面取得了相当大的进展,总体生存率没有得到质的改善.本研究旨在探讨其临床特点,PRT的治疗策略和预后。
方法:回顾性分析北京大学深圳医院2003年4月至2017年2月收治的121例PRT患者的临床资料。
结果:共有113例患者接受了手术治疗,8例选择了非手术姑息治疗。男性53人,女性68人(比例,1:1.3;平均年龄,40.75年),平均肿瘤直径为9.69(2-40)cm。共有104例患者(92.04%)接受了完全切除,5例(4.42%)行姑息性切除,21例(18.58%)行联合内脏切除。病理诊断为良性88例(72.73%),恶性33例(27.27%)。共101例(83.47%)患者平均随访5.82年。在后续行动结束时,良性肿瘤的复发率和生存率分别为2.63%和93.42%,分别,恶性肿瘤为24.00%和60.00%(p<0.01)。
结论:成像在肿瘤的定位和表征中起重要作用,指导治疗策略。完整的肿瘤切除是减少术后复发和提高生存率的关键。根据术后病理结果,包括放疗在内的组合,化疗或靶向治疗有利于改善预后。
BACKGROUND: Primary retroperitoneal tumours (PRTs) are rare soft tissue tumours originating from the retroperitoneum. Although there has been considerable progress recently in diagnosis and treatment, the overall survival rate has not improved qualitatively. This study aimed to explore the clinical features, therapeutic strategies and prognosis of PRTs.
METHODS: Retrospective analysis of clinical data for 121 PRT patients admitted to Peking University Shenzhen Hospital from April 2003 to February 2017.
RESULTS: A total of 113 patients underwent surgery and 8 chose nonsurgical palliative treatment. There were 53 males and 68 females (ratio, 1:1.3; average age, 40.75 years), and the average tumour diameter was 9.69(2-40)cm. A total of 104 patients (92.04%) underwent complete resection, 5 (4.42%) underwent palliative resection and 21 (18.58%) underwent combined visceral resection. The pathological diagnosis was benign in 88 cases (72.73%) and malignant in 33 cases (27.27%). A total of 101 patients (83.47%) were followed for an average of 5.82 years. At the end of follow up, the recurrence and survival rates were 2.63% and 93.42% for benign tumours, respectively, and 24.00% and 60.00% for malignant tumours (p<0.01).
CONCLUSIONS: Imaging plays important roles in localising and characterising tumours, guiding treatment strategies. Complete tumour resection is key to reducing postoperative recurrence and improving survival. According to the postsurgical pathological results, combinations including radiotherapy, chemotherapy or targeted therapy are beneficial for improving prognosis.