论文部分内容阅读
本文报告原发性腹膜后肿瘤(PRT)54例,由于本病临床无特异表现,术前误诊率高达72.2％。50例经手术和病理证实,其中恶性肿瘤37例(74％),良性13例(26％),以间叶组织和淋巴组织肿瘤最多。首发症状以腹块最多,次为腹痛腹胀。其中少数病例腹块较表浅,并有一定移动性,不能就此否定PRT。某些少见症状如新近发生会阴疼痛,单侧下肢麻木、静脉曲张或水肿等,应警惕PRT的可能性。诊断本病应注意腹部肿块及有关检查,即可提高PRT的诊断率。
This article reports 54 cases of primary retroperitoneal tumors (PRT), due to the clinical no specific performance of the disease, the preoperative misdiagnosis rate as high as 72.2%. 50 cases were confirmed by surgery and pathology, including 37 cases (74%) of malignant tumors and 13 cases (26%) of benign tumors. Most of them were mesenchymal and lymphoid tissues. The first symptom was abdominal mass, followed by abdominal pain and bloating. In a small number of cases, the abdomen is superficial and has some mobility. Therefore, PRT cannot be denied. Some rare symptoms such as newly occurring perineal pain, unilateral lower limb numbness, varicose veins, or edema should be alert to the possibility of PRT. Diagnosis of this disease should pay attention to abdominal mass and related examinations, you can improve the diagnostic rate of PRT.