摘要
原发性腹膜后软组织肉瘤是一类临床上比较罕见的局部侵袭性肿瘤，其治疗效果远比四肢软组织肉瘤差。为了提高本病的临床诊断符合率，影像学的检查是必不可少的，尤其是Ｂ超、ＣＴ以及ＭＲＩ的检查，对于确定肿瘤大小、部位、与邻近器官的关系和有无肝脏及腹腔的转移，具有特殊的价值。主张通过开放活检，获取组织学诊断。手术是治疗本病的主要手段，提高本病疗效的关键是手术彻底切除肿瘤。因此，我们主张在明确本病诊断后，尽可能完全或大部分切除肿瘤，对术后复发者，也要争取再次、多次手术切除，并于术后酌情辅加放疗。
Imaging technics are playing vital role in the diagnosis of primary retroperitoneal soft-tissue sarcoma(PRS)particularly B-type ultrasonic scan abdominal computed tomography and magnetic resonance All these technics are useful to deter mine the existance consistency extent and spatial relationships of these neoplasms In this series of 146 cases of PRS the combined measures achieved an accurate diagnosis in 90. 9% of the cases.Open biopsy is recommended for histopathologic diagnosis.Surgical removal was the main treatment for PRS. The key factor affecting prognosis was complete resection of the tumor. The 5-year survival rate of patients who underwent complete resection was 49 %. Adjuvant radiotherapy is suggested.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1995年第4期237-240,共4页
Chinese Journal of Clinical Oncology
关键词
原发性
腹膜后
软组织肉瘤
诊断
治疗
Retroperitoneal sarcoma
Diagnosis and treatment
Soft tissue sarcoma
