Recurrent retroperitoneal sarcoma
Authors:
J. Dítě; J. Froněk
Authors place of work:
Klinika transplantační chirurgie, Institut klinické a experimentální medicíny, přednosta: doc. MUDr. J. Froněk, PhD, FRCS
Published in the journal:
Rozhl. Chir., 2016, roč. 95, č. 10, s. 371-374.
Category:
Case Report
Summary
Retroperitoneal sarcomas are rare malignant neoplasms that are often diagnosed late because of their typical nonspecific symptomatology. Radical surgical resection, if possible given the local anatomical conditions, is the most important treatment modality. However, even if the surgery is feasible and successful, the prognosis of retroperitoneal sarcoma is not good. The most frequent type of recurrence is local recurrence, and radical surgical resection remains the most important treatment modality even in such cases.
Our study presents a case report of a patient with a retroperitoneal leiomyosarcoma that was radically (R0) removed. Two years later a local recurrence developed, which was eventually diagnosed by MRI. Again, radical (R0) surgical resection was approached (because of tumor invasion into inferior caval vein, the vein had to be partially resected as well and substituted with a vascular prosthesis).
The report describes a relatively typical case of retroperitoneal sarcoma, while pointing out the importance of timely diagnosis (which is definitely not easy to achieve) and especially of radical surgical treatment.
Key words:
retroperitoneal sarcoma − recurrence − surgery
Zdroje
1. Papanicolaou N, Yoder IC, Lee MJ. Primary retroperitoneal neoplasms: How close can we come in making the correct diagnosis. Urol Radiol 1992;14:221−8.
2. Windham TC, Pisters PWT. Cancer Control 2005;12:36–43.
3. Ferrario T, Karakousis CP. Retroperitoneal sarcomas: grade and survival. Arch Surg 2003;138:248.
4. Hassan I, Park SZ, Donohue JH, et al. Operative management of primary retroperitoneal sarcomas: a reappraisal of an institutional experience. Ann Surg 2004;239:244–50.
5. Liles JS, Tzeng CW, Short JJ, et al. Retroperitoneal and intra-abdominal sarcoma. Curr Probl Surg. 2009;46:445−503.
6. Jemal A, Tiwari RC, Murray T, et al. Cancer statistics 2004. CA Cancer J Clin 2004;54:8−29.
7. Pisters PW. Soft tissue sarcoma. In: Norton JA, Bollinger RR, Chang AE, et al, eds. Surgery: Basic Science and Clinical Evidence. New York, Springer 2001.
8. Singer S, Antonescu CR, Riedel E, et al. Histologic subtype and margin of resection predict pattern of recurrence and survival for retroperitoneal liposarcoma. Ann Surg 2003;238:358−370; discussion 370−1.
9. Windham TC, Pearson AS, Skibber JM, et al. Significance and management of local recurrences and limitemetastatic disease in the abdomen. Surg Clin North Am 200;80:761−74.
10. Catton CN, O‘Sullivan B, Kotwall C, et al. Outcome and prognosis in retroperitoneal soft tissue sarcoma. International Journal of Radiation OncologyBiologyPhysics. 1994;29:1005−10.
11. Choi AH, Barnholtz-Sloan JS, Kim JA. Effect of radiation therapy on survival in surgically resected retroperitoneal sarcoma: a propensity score-adjusted SEER analysis. Ann Oncol 2012;23:2449−57.
12. Adjuvant chemotherapy for localised resectable soft-tissue sarcoma of adults: meta-analysis of individual data. Sarcoma Meta-analysis Collaboration. Lancet 1997;350:1647−54.
13. Toulmonde M, Bonvalot S, Meeus P, et al. Retroperitoneal sarcomas: patterns of care at diagnosis, prognostic factors and focus on main histological subtypes: a multicenter analysis of the French Sarcoma Group. Ann Oncol. 2014;25:735−42.
14. Brodak M, Spacek J, Pacovsky J, et al. Multidisciplinary approach as the optimum for surgical treatment of retroperitoneal sarcomas in women. Eur J Gynaecol Oncol 2013;34:234−7.
15. Pohnan R, Ryska M, Kucera M, et al. Rare cases of extensive retroperitoneal liposarcomas. Rozhl Chir 2008;87:364−6.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2016 Číslo 10
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Myxofibrosarcoma in the abdominal cavity
- Total pancreatectomy for pancreatic malignancy - from history to the present day
- Complete mesocolic excision during right hemicolectomy
- Liver metastases of malignant melanoma – utility of resection or radiofrequency ablation