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Retroperitoneal primary mucinous adenocarcinoma: A case report
Haiping Jiang1, Ketao Jin, Qihan You
1Department of Internal Oncology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou.
Oncology Letters
|August 1, 2012
Summary
Retroperitoneal primary mucinous adenocarcinoma (RPMA) is a rare cancer. Combination chemotherapy, following surgical resection, showed efficacy in managing this tumor and controlling recurrence in a young patient.
Area of Science:
- Oncology
- Surgical Oncology
Background:
- Retroperitoneal primary mucinous adenocarcinoma (RPMA) is an exceptionally rare malignancy with an unclear histogenesis.
- Optimal treatment strategies for RPMA are not well-defined, although surgical resection is considered standard care.
- The role of chemotherapy in managing RPMA remains to be fully elucidated.
Purpose of the Study:
- To report a rare case of a 21-year-old female patient diagnosed with retroperitoneal primary mucinous adenocarcinoma.
- To evaluate the efficacy of combination chemotherapy in managing RPMA, particularly in the context of post-surgical recurrence.
Main Methods:
- A case study of a 21-year-old female presenting with symptoms suggestive of RPMA, including chronic lower back pain and weight loss.
- Diagnostic workup involved elevated carcinoembryonic antigen (CEA) levels and computed tomography (CT) scan revealing a retroperitoneal mass.
- Treatment involved initial surgical resection followed by combination chemotherapy regimens (oxaliplatin/5-fluorouracil, then paclitaxel/5-fluorouracil).
Main Results:
- Surgical exploration confirmed a well-defined tumor in the right retroperitoneum.
- Combination chemotherapy led to a decrease in serum CEA levels, indicating a positive treatment response.
- Chemotherapy effectively controlled local recurrence after surgical resection of the RPMA.
Conclusions:
- Combination chemotherapy may be an effective adjuvant treatment for retroperitoneal primary mucinous adenocarcinoma, particularly in controlling recurrence post-surgery.
- This case highlights the potential utility of chemotherapy regimens in managing this rare retroperitoneal tumor.
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