[Primary retroperitoneal tumors].
Two hundred and one patients with primary retroperitoneal tumors underwent surgery from 1957 to 1988. The tumors were found malignant in 113 patients (56%) and benign in 88 (44%). Abdominal mass and/or pain was the most common symptom (88%), with palpable abdominal mass in 91% of the patients. Complete resection was performed in 81% of the patients with benign tumors and 51% with malignant ones. Fourteen patients (24%) with malignant tumors were subjected to the excision of adjacent organs for the complete resection. The 5- and 10-years survival rates of the patients with benign tumors were 96% and 95% respectively. In patients with malignant tumors, the 5- and 10-year survival rates were 56% and 30% respectively for those undergoing complete resection, compared to 8% and 8% respectively for those undergoing partial resection or biopsy (P < 0.001). Partial resection with adjuvant radiotherapy or chemotherapy may be beneficial to some of the patients with malignant tumors. Reoperation should always be attempted in patients suffering from recurrence.
Li
S
S
Cancer Hospital, Shanghai Medical University.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008080:Liposarcoma / Q000401:mortality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000401:mortality / Q000601:surgery; D012186:Retroperitoneal Neoplasms / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate; D013724:Teratoma / Q000401:mortality / Q000601:surgery