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[Primary retroperitoneal tumors: our caseload].

J M Alapont Alacreu1, S Arlandis Guzmán, J P Burgués Gasión

  • 1Servicio Urología, Hospital Universitario La Fe, Valencia.

Actas Urologicas Espanolas
|March 20, 2002
PubMed
Summary

Primary retroperitoneal tumors are rare, with most being malignant. Radical surgery is crucial for better outcomes, while chemotherapy and radiotherapy may aid in managing these aggressive neoplasms.

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Area of Science:

  • Urology
  • Oncology
  • Surgical Pathology

Context:

  • Primary retroperitoneal tumors are rare in urological practice.
  • A retrospective review of 64 cases treated between 1974 and 2000 was conducted.
  • The study analyzes clinical presentation, diagnosis, treatment, and outcomes.

Purpose:

  • To review the clinical characteristics, management, and survival rates of primary retroperitoneal tumors.
  • To evaluate the efficacy of surgical resection, radiotherapy, and chemotherapy in treating these rare neoplasms.
  • To emphasize the importance of radical surgical intent in managing potentially advanced tumors.

Summary:

  • Of 64 primary retroperitoneal tumors, 92.2% were malignant, predominantly mesodermic.
  • Surgery was performed in 92.2% of patients, with radical resection achieved in 100% of benign and 44.5% of malignant cases.

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  • Five-year survival for benign tumors was 100%, contrasted with 10.1% for malignant tumors, with a mean survival of 20.15 months.

    • Impact:

    • Highlights the poor prognosis of malignant primary retroperitoneal tumors.
    • Underscores the necessity of planning radical surgery due to frequent advanced-stage diagnoses.
    • Suggests that adjuvant radiotherapy and chemotherapy can be valuable components of the therapeutic strategy for these tumors.