腹膜后肿瘤112例临床病理分析  

Retroperitoneal tumor:a clinicalpathological analysis for 112 cases

作　　者：石峰[1] 昌红[1] 陈奕至[1] 

机构地区：[1]首都医科大学附属北京世纪坛医院病理科,北京100038

出　　处：《临床与实验病理学杂志》2012年第12期1346-1350,共5页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的探讨腹膜后肿瘤患者的发病年龄、各肿瘤所占比例及其相关的临床病理学特点。方法回顾性分析112例腹膜后肿瘤的临床及病理资料。结果 112例腹膜后肿瘤中脂肪组织源性肿瘤34例(30.36%),周围神经源性肿瘤18例(16.07%),副神经节瘤8例(7.14%),神经外胚层肿瘤6例(5.36%),纤维母细胞性及肌纤维母细胞性肿瘤12例(10.71%),平滑肌肉瘤11例(9.82%),纤维组织细胞源性肿瘤6例(5.36%),淋巴瘤4例(3.57%),胃肠间质瘤3例(2.68%),生殖细胞肿瘤3例(2.68%),淋巴管瘤4例(3.57%),滤泡树突细胞肉瘤1例(0.89%),良性尿生殖源性囊肿1例(0.89%),复合型肉瘤1例(0.89%)。其中4例良性肿瘤分别于术后8个月、35个月、25年和27年复发。恶性肿瘤中44例复发(45.45%在1年内复发,70.45%在2年内复发),其中2例死亡。结论 112例腹膜后肿瘤中良性肿瘤20例(17.86%),恶性肿瘤92例(82.14%)。其中脂肪源性肿瘤最多见,神经源性肿瘤其次,第三为纤维母细胞性及肌纤维母细胞性肿瘤。Purpose To investigate the age, proportion and clinicopathological features of retroperitoneal tumor by studying clinical and pathology data. Methods The clinical and pathologic data were analyzed in 112 cases of retroperitoneal tumor. Results There were 34 tumors （ 5.36% 3.57% 0. 89% cases of adipose tissue tumors （30. 36% ） , 18 neurogenic tumors （16.07%） , 8 paragangliomas （7. 14% ） , 6 neurotodermal 5.36% ）, 12 fibriblastic and myofibroblstic tumors （ 10.71% ）, 11 leiolnyosarcomas （ 9.82% ）, 6 histiocytic tumors ）, 4 lymphomas （3.57%）, 3 gastrointestinal stromal tumors （2. 68% ）, 3 germ cell tumors （2. 68% ）, 4 lymphangiomas ） , I follicular dendritic cell sarcoma （0. 89% ）, 1 benign urinary reproduction derived cyst （0. 89% ） , and 1 mixed sarcoma ）. There were recmxences in 4 eases of benign tumor after 8 months, 35 months, 25 years and 27 years after operation, re- spectively. There were recurrences in 44 malignant tumors （45.45% recmTence in one year, and 70.45% recurrence in two year） , and 2 patients died. Conclusions There are 20 benign tumors （ 17.86% ） and 92 malignant tumors （82. 14% ） in 112 cases of perito- neal tumor in this hospital. Adipose tissue tumours are most connnonly found, neurogenic tumors are second, and fibriblastic and myo- fibroblstie tumors are third.

关 键 词：腹膜后肿瘤 软组织肿瘤 临床病理 

分 类 号：R735.4[医药卫生—肿瘤]