论文部分内容阅读
腹膜后肿瘤罕见,患者也难以察觉。有时因腹部不适、盆腔痛或盆腔肿瘤首诊为妇科疾病,超声诊断为卵巢恶性肿瘤由妇科医师行开腹术,对患者的治疗和预后不利,并缩短无瘤存活期或失去治愈的机会。如1992～1998年间5例腹膜后肿瘤首诊于妇科。患者年龄为39、52、56、66和70岁。经超声和/或妇科检查诊断为卵巢肿瘤(4例);子宫平滑肌瘤(1例),开腹术时发现腹膜后肿瘤。1例术中未活检切除肿瘤,病理诊断为粘液性脂肪肉瘤,随访18个月无复发,另4例术中均经腹腔切取活检,其中1例取材少未能确诊,后经阴道后穹窿吸出肿物内淡黄液体500 ml,再次活检诊断为神经鞘瘤,二次手术切除肿瘤,病人痊愈;1例诊断为腹膜后转
Retroperitoneal tumors are rare and difficult to detect. Sometimes due to abdominal discomfort, pelvic pain, or pelvic tumor first diagnosed as a gynecological disease, ultrasound diagnosis of ovarian cancer by a gynecologist for laparotomy is unfavorable to the patient’s treatment and prognosis, and shortens the chance of disease-free survival or loss of cure. For example, 5 cases of retroperitoneal tumors were first diagnosed in gynecology between 1992 and 1998. The patients were 39, 52, 56, 66 and 70 years old. Ultrasound and/or gynecological examinations diagnosed as ovarian tumors (4 cases); uterine leiomyomas (1 case), retroperitoneal tumors were found during laparotomy. One case had no biopsy to remove the tumor during the operation. The pathological diagnosis was mucinous liposarcoma. No recurrence was found during the follow-up period of 18 months. The other 4 cases were all undergoing abdominal biopsy during the operation. One of the cases was undiagnosed after a small amount of material was obtained. A light yellow liquid within the mass was 500 ml. The biopsy was diagnosed as a schwannoma. The tumor was resected after the second operation. The patient was diagnosed with a retroperitoneal turn.