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腹膜后恶性肿瘤出现症状时已可生长巨大,并侵犯邻近组织及器官,手术不能切除的高达83%,手术死亡率10~25%。“彻底”切除者10年生存率为4~21%,而术后局部复发率可达80%。术后放疗改善疗效甚微,其2~16年生存率约为10~19%。作者指出各家均认为单独放疗或单独化疗对未能切除的腹膜后肿瘤(经血管造影或手术不能切除所证实)均无希望。本文报告8例(横纹肌肉瘤、恶性间胚叶肿瘤、腰椎尤文氏肉瘤伴腹膜后广泛
The symptoms of retroperitoneal malignant tumors can grow tremendously and invade neighboring tissues and organs. Up to 83% of the patients can’t be removed by surgery, and the surgical mortality is 10-25%. The 10-year survival rate for “complete” resection was 4 to 21%, and the local recurrence rate after surgery was 80%. Postoperative radiotherapy has little effect, and its 2 to 16-year survival rate is about 10 to 19%. The authors pointed out that each individual considered that radiotherapy alone or chemotherapy alone had no hope of failing to remove retroperitoneal tumors (as confirmed by angiography or surgical resection). This article reports 8 cases (rhabdomyosarcoma, malignant metastatic tumor, lumbar Ewing’s sarcoma with extensive retroperitoneal