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目的 总结原发性腹膜后恶性肿瘤的诊治经验。方法 回顾性分析 4 1例原发性腹膜后恶性肿瘤病人的临床表现、影像学检查特点及手术处理。结果 初始临床表现多为腹部肿物 ,辅助检查CT诊断率为 94 7% ,肿瘤完全切除率为 4 8 8% ,完全切除组术后复发 11例 ,再手术 10例 ,6例完全切除肿瘤。结论 发现腹部无症状性肿物要考虑本病 ,CT是最重要的诊断性辅助检查 ,手术全切除及整块切除是治疗本病的重要手段 ,对复发性肿瘤应争取再手术治疗。
Objective To summarize the diagnosis and treatment of primary retroperitoneal malignant tumors. Methods Retrospective analysis of 41 cases of primary retroperitoneal malignant tumor in patients with clinical manifestations, imaging features and surgical treatment. Results The initial clinical manifestations were mostly abdominal masses. The auxiliary CT examination was 94.7%, the complete resection rate was 48.8%. In the resection group, 11 cases were recurred, 10 cases were reoperated and 6 cases were completely resected. CONCLUSIONS: Asymptomatic abdominal mass should be considered in this disease. CT is the most important diagnostic assistant check-up. Surgical resection and lump resection are important means to treat this disease. Recurrent surgery should be pursued for recurrent tumors.