Öz
Objective: In this study, Selcuk
University Faculty of Medicine between 2011 - 2013 follow-up at the Department
of Pediatric Oncology and Pediatric Surgery clinic was operated by a total of
22 patients with retroperitoneal tumors were evaluated retrospectively .
Patients and Method: Retroperitoneal tumors
were evaluated retrospectively during 2011-2013. The cases treated with primary
retroperitoneal tumor, surgical treatment without other distant organ
metastasis were included in the study. The files of the cases were primary
diagnosis in terms of age, sex, tumor stage at the time of diagnosis, surgical
treatment method, pathological diagnosis and follow-up reviewed
retrospectively.
Results: 9 out of 22 cases (40%) male and
13 (60%) were female. Male mean age of 71 months ( 3-132 ) in the girls 37
months ( 6-204 ) . The histological results, 15 (68%) of neuroblastoma , 4
(18.5%) Wilms, 1 (4.5% ) Embryonal Rhabdomyosarcoma , 1 (4.5% ) Clear cell
sarcoma , 1 (4.5% ) malignant nerve sheath tumors were evaluated . Eight of the
cases (36%) were stage I, 7 (32%) were stage III, 7 (32%) stage IV.
Conclusion: In conclusion, 68% of
our cases were neuroblastoma and 64% of the patients were stage III and stage
IV at the time of diagnosis. Retroperitoneal tumors are generally diagnosed in
advanced stages. We think that this is due to the anatomical localizations and
the silent as far as the clinically advanced stage.
Anahtar Kelimeler
Kaynakça
- Liles JS, Tzeng CW, Short JJ, Kulesza P, Heslin MJ. Retroperitoneal and intra-abdominal sarcoma. Curr Probl Surg 2009;46(6):445-503.
- Lewis JJ, Leung D, Woodruff JM, Brennan MF. Retroperitoneal soft-tissue sarcoma: analysis of 500 patients treated and followed at a single institution. Ann Surg 1998;228(3):355-65.
- Karakousis CP, Velez AF, Gerstenbluth R, Driscoll DL. Resectability and survival in retroperitoneal sarcomas. Ann Surg Oncol 1996;3(2):150-8.
- Yeh JJ, Singer S, Brennan MF, Jaques DP. Effectiveness of palliative procedures for intra-abdominal sarcomas. Ann Surg Oncol 2005;12(12):1084-9.
- An JY, Heo JS, Noh JH, Sohn TS, Nam SJ, Choi SH, et al. Primary malignant retroperitoneal tumors: analysis of a single institutional experience. Eur J Surg Oncol 2007;33(3):376-82.
- Xu YH, Guo KJ, Guo RX, Ge CL, Tian YL, He SG. Surgical management of 143 patients with adult primary retroperitoneal tumor. World J Gastroenterol 2007;13(18):2619-21.
- Hueman MT, Herman JM, Ahuja N. Management of retroperitoneal sarcomas. Surg Clin North Am 2008;88(3):583-97, vii.
- Mussi C, Colombo P, Bertuzzi A, Coladonato M, Bagnoli P, Secondino S, et al. Retroperitoneal sarcoma: is it time to change the surgical policy? Ann Surg Oncol 2011;18(8):2136-42.
- Xu Y, Wang J, Peng Y, Zeng J. CT characteristics of primary retroperitoneal neoplasms in children. Eur J Radiol 2010;75(3):321-8.
- Chaudhary A, Misra S, Wakhlu A, Tandon RK, Wakhlu AK. Retroperitoneal teratomas in children. Indian J Pediatr 2006;73(3):221-3.
- Jones NM, Kiely EM. Retroperitoneal teratomas--potential for surgical misadventure. J Pediatr Surg 2008;43(1):184-6; discussion 187.
Öz
Amaç: Bu çalışmada Selçuk
Üniversitesi Tıp Fakültesi 2011-2013 tarihleri arasında Çocuk Onkoloji Anabilim
Dalı’nda takipli ve Çocuk Cerrahisi Kliniğince opere edilen toplam 22
retroperitoneal tümörlü hastaların kayıtları retrospektif olarak
değerlendirildi.
Olgular ve Yöntem: Retroperitoneal
tümör nedeniyle 2011-2013 arasında cerrahi girişim yapılan olgular geriye dönük
olarak incelendi. Primer retroperitoneal tümörü kontrol altına alınan, başka
uzak organ metastazı olmayan cerrahi tedavi uygulanan olgular çalışmaya dahil
edildi. Yaş, cinsiyet, primer tanı anında tümör evresi, cerrahi tedavi yöntemi,
patolojik tanı ve takip açısından olguların dosyaları retrospektif olarak
değerlendirildi.
Bulgular: Olgularımızın 9’u (%40)
erkek, 13’ü (%60) kızdı. Ortalama yaş erkeklerde
71 ay (3-132), kızlarda 37 ay (6-204) idi. Histopatolojik olarak olguların 15 (%68)’i
nöroblastom, 4’ü (%18.5) wilms tümörü,
1’i (%4.5) embriyonal rabdomyosarkom, 1’i (%4.5) berrak hücreli sarkom, 1’i (%4.5)
malign sinir kılıfı tümörü olarak değerlendirildi. Tanı anında olguların 8’i (%36)
evre I, 7’si (%32) Evre III, 7’si (%32) evre IV safhasındaydı.
Sonuç: Olgularımızın %68’i nöroblastom
olup, tanı anında hastaların %64’ü evre III ve evre IV idi. Anatomik
lokalizasyonları nedeniyle ileri evrelere kadar sessiz tümörler olan retroperitoneal
tümörlerin çoğu nöroblastomdur ve genellikle ileri evrelerde tanı alırlar.
Anahtar Kelimeler
Kaynakça
- Liles JS, Tzeng CW, Short JJ, Kulesza P, Heslin MJ. Retroperitoneal and intra-abdominal sarcoma. Curr Probl Surg 2009;46(6):445-503.
- Lewis JJ, Leung D, Woodruff JM, Brennan MF. Retroperitoneal soft-tissue sarcoma: analysis of 500 patients treated and followed at a single institution. Ann Surg 1998;228(3):355-65.
- Karakousis CP, Velez AF, Gerstenbluth R, Driscoll DL. Resectability and survival in retroperitoneal sarcomas. Ann Surg Oncol 1996;3(2):150-8.
- Yeh JJ, Singer S, Brennan MF, Jaques DP. Effectiveness of palliative procedures for intra-abdominal sarcomas. Ann Surg Oncol 2005;12(12):1084-9.
- An JY, Heo JS, Noh JH, Sohn TS, Nam SJ, Choi SH, et al. Primary malignant retroperitoneal tumors: analysis of a single institutional experience. Eur J Surg Oncol 2007;33(3):376-82.
- Xu YH, Guo KJ, Guo RX, Ge CL, Tian YL, He SG. Surgical management of 143 patients with adult primary retroperitoneal tumor. World J Gastroenterol 2007;13(18):2619-21.
- Hueman MT, Herman JM, Ahuja N. Management of retroperitoneal sarcomas. Surg Clin North Am 2008;88(3):583-97, vii.
- Mussi C, Colombo P, Bertuzzi A, Coladonato M, Bagnoli P, Secondino S, et al. Retroperitoneal sarcoma: is it time to change the surgical policy? Ann Surg Oncol 2011;18(8):2136-42.
- Xu Y, Wang J, Peng Y, Zeng J. CT characteristics of primary retroperitoneal neoplasms in children. Eur J Radiol 2010;75(3):321-8.
- Chaudhary A, Misra S, Wakhlu A, Tandon RK, Wakhlu AK. Retroperitoneal teratomas in children. Indian J Pediatr 2006;73(3):221-3.
- Jones NM, Kiely EM. Retroperitoneal teratomas--potential for surgical misadventure. J Pediatr Surg 2008;43(1):184-6; discussion 187.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler-Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 23 Temmuz 2018 |
| Kabul Tarihi | 14 Aralık 2017 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 19 Sayı: 3 |
Kaynak Göster
