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[Primary solid tumors of the mesentery]
C Vasilescu1, C Popa, M Ionescu
1Clinica Chirurgie Generală, Spital Fundeni, Bucureşti.
Chirurgia (Bucharest, Romania : 1990)
|January 1, 1995
Summary
Primary solid tumors of the mesentery (TSPM) present diagnostic and surgical challenges. Resectability depends on avoiding invasion of mesenteric vessels, with local invasion being common and distant metastases rare.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Primary solid tumors of the mesentery (TSPM) are rare and pose significant diagnostic and surgical challenges.
- Preoperative diagnosis and surgical treatment of these unusual lesions require specialized consideration.
Observation:
- A retrospective analysis of 68 TSPM cases operated between 1960-1993 was conducted.
- Lymphomas presenting as mesenteric masses (n=17) were included, while enlarged mesenteric lymph nodes were excluded.
- The most frequent malignant tumors were fibroma (n=8) and lipoma (n=10).
Findings:
- Tumor resectability is critically dependent on the relationship with the superior mesenteric vessels.
- Invasion of the superior mesenteric artery and vein was the primary reason for unresectability in 41 of 43 cases.
- Distant metastases were rare, but local invasion was frequently observed.
Implications:
- Preoperative assessment of mesenteric tumor involvement with major vascular structures is essential for surgical planning.
- Surgical strategies should prioritize vessel preservation to maximize resectability rates.
- Further research into the biological behavior and treatment of TSPM is warranted to address local invasion and improve prognosis.