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Primary retroperitoneal tumours in adults.
Annales Chirurgiae Et Gynaecologiae
|January 1, 1984
Summary
Surgery for primary retroperitoneal tumors yielded poor outcomes for malignant cases. Early diagnosis and aggressive resection of local recurrences are crucial, alongside adjuvant therapies, to improve survival rates.
Area of Science:
- Oncology
- Surgical Oncology
- Radiology
Background:
- Primary retroperitoneal tumors are rare and often present with non-specific symptoms.
- Surgical management has been the primary treatment modality, but outcomes vary significantly based on tumor type.
Purpose of the Study:
- To evaluate the surgical outcomes and long-term prognosis of primary retroperitoneal tumors.
- To identify factors influencing survival and recurrence rates.
Main Methods:
- Retrospective analysis of 48 patients treated between 1962 and 1983.
- Review of presenting symptoms, radiological investigations (CT, cavography, aortography, IVP), surgical procedures, and outcomes.
- Assessment of operative mortality, morbidity, and 5-year survival rates.
Main Results:
- Malignant tumors accounted for 73% of cases.
- Radical excision was performed in only 11% of malignant tumors.
- The 5-year survival for malignant tumors was 28%, with a high rate of recurrence.
Conclusions:
- Surgical results for malignant retroperitoneal tumors are unsatisfactory.
- Adjuvant therapies (radiation, chemotherapy) and aggressive management of local recurrences are necessary.
- Further randomized trials are warranted to optimize treatment strategies.