国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (2): 160-163.

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原发性盆腔腹膜后肿瘤的诊治进展

辛 星， 夏志军， 宋 悦   

  1. 110004 沈阳，中国医科大学附属盛京医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-04-15 发布日期:2013-04-15
  • 通讯作者: 夏志军

Progress of Diagnosis and Treatment of Primary Pelvic Retroperitoneal Tumor

XIN Xing，XIA Zhi-jun，SONG Yu   

  1. Shengjing Hospital of China Medical University，Shenyang 110004，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-04-15 Online:2013-04-15
  • Contact: XIA Zhi-jun

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摘要： 原发性盆腔腹膜后肿瘤（primary pelvic retropritoneal tumor，PPRT）是一种罕见的起源于骶前间隙不同组织结构的肿瘤。由于此间隙包含多种胚胎残留组织，故其病理分类复杂，良性肿瘤所占比例较高，临床表现缺乏特异性。超声、计算机断层扫描（CT）和磁共振（MRI）等影像学检查有助于术前诊断及决定手术方式。手术切除是目前最主要的治疗方法，对侵犯脏器者应采用联合脏器切除。肿瘤分化程度及是否完整切除肿瘤是决定PPRT预后的主要因素。

关键词: 盆腔肿瘤, 腹膜后肿瘤, 病理学, 症状和体征, 诊断, 治疗

Abstract: PPRT is rare and can be challenging to diagnose and treat. Because the presacral space contains multiple embryologic remnants derived from various tissues，the tumors that develop in this space are heterogeneous. Most lesions are benign，characterized by a poor and non-specific symptomatology and by a late diagnosis. The imaging investigations used in diagnosing PPRT mainly including ultrasound，computed tomography，magnetic resonance imaging. The main treatment is surgical resection，consisting in either total or partial excision of the tumor. Major determinate factors of PPRT prognosis include differentiation of tumor and either in total or partial excision of the tumor.

Key words: Pelvic neoplasms, Retroperitoneal neoplasms, Pathology, Symptoms &, signs, Diagnosis