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作者总结了麻省Lahey医疗中心1930~1986年收治的182例原发性腹膜后肿瘤的临床、病理及影响生存的因素。 182例中男性99例。平均年龄57(24~86)岁。平均病程5个月。症状有腹痛、背痛、下肢放射痛、体重下降、食欲减退等。体征主要有腹部和盆腔肿块、下肢水肿等。CT、B超、动脉造影、静脉肾盂造影、消化道钡剂造影对腹膜后肿瘤的诊断均有帮助,但术前确诊率仅39%。肿瘤分类:良性11%,肉瘤43%、淋巴瘤23%、未分化恶性肿瘤11%、原发部位不明的癌8%、
The authors summarized the clinical, pathological, and survival factors of 182 primary retroperitoneal tumors admitted to the Lahey Medical Center in Massachusetts from 1930 to 1986. There were 99 males in 182 cases. The average age is 57 (24-86) years old. The average duration of disease is 5 months. Symptoms include abdominal pain, back pain, lower limb radiating pain, weight loss, loss of appetite, etc. Signs mainly include abdominal and pelvic masses, edema of the lower limbs, etc. CT, B-ultrasound, arteriography, intravenous pyelography, and gastrointestinal tract contrast agents all helped in the diagnosis of retroperitoneal tumors, but the preoperative diagnosis rate was only 39%. Tumor classification: benign 11%, sarcoma 43%, lymphoma 23%, undifferentiated malignancy 11%, primary lesion unknown 8%,