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Retroperitoneal tumours--a ten years retrospective study
Dilip Kumar Pal1, Subrata Chakraborty, Shikha Das
1Bankura Sammilani Medical College, Bankura 722102.
Journal of the Indian Medical Association
|July 13, 2005
Summary
This study analyzed 42 retroperitoneal tumors, finding malignant types more common than benign. Surgery is the primary treatment, but complications and mortality remain significant challenges in managing these retroperitoneal tumors.
Area of Science:
- Oncology
- Surgical Pathology
- Medical Imaging
Background:
- Retroperitoneal tumors represent a diverse group of neoplasms.
- Surgical management is often the primary therapeutic approach.
- Accurate pre-operative diagnosis is crucial for optimal treatment planning.
Purpose of the Study:
- To analyze the clinical characteristics and outcomes of retroperitoneal tumors.
- To evaluate the utility of diagnostic investigations in pre-operative assessment.
- To determine the incidence, common types, and treatment challenges of these tumors.
Main Methods:
- Retrospective analysis of 42 surgically treated cases from 1985-1995.
- Review of patient demographics, tumor types, and treatment modalities.
- Evaluation of diagnostic accuracy of CT scans and fine needle aspiration cytology.
Main Results:
- Highest incidence observed in the fourth decade of life, with equal sex distribution.
- Malignant retroperitoneal tumors were twice as common as benign.
- Lymphoma was the most frequent malignant type; complete resection posed challenges, sometimes requiring sacrifice of vital organs.
Conclusions:
- CT scan and fine needle aspiration cytology are valuable for pre-operative planning.
- Complete resection is the goal, but morbidity and mortality (up to 19.1%) are associated with surgical complications.
- Management of retroperitoneal tumors requires careful consideration of surgical risks and potential organ sacrifice.