Background: Primary retroperitoneal tumors (PRT) are a group of extremely heterogeneous soft tissue tumors that grow in the retroperitoneal space and have no organic affiliation. Tumors usually become symptomatically late and cause secondary symptoms or become palpable once they have become significantly large. Preoperative diagnosis of PRT is essential for assessing subsequent treatment tactics, planning the approach and volume of surgery, by detecting the structural component, relationships with adjacent anatomical structures and the degree of invasion. Material and methods: Complex prospective and retrospective analysis of clinical, anamnestic and imaging data of 118 patients with primary and nonprimary retroperitoneal tumors, investigated and treated at the Institute of Oncology of the Republic of Moldova during 2015-2020. Results: To determine the primary PRT diagnosis for the clinician, it is primordial to rule out the organic or secondary nature of the tumor. Thus, the patients were examined by: abdominal USG – 118 patients (100%), abdominal and small pelvic contrast-enhanced CT – 118 patients (100%), MRI – 3 patients (2.5%), videoesogastroduodenoscopy – 32 patients (27.1%), videocolonoscopy – 31 patients (26.3%), irigography – 4 patients (3.4%), urography – 29 patients (24.6%). Conclusions: Contrast-enhanced CT provides more accurate data than USG. The image obtained at the USG examination is flat, therefore the dimensional measurements of the tumor are not always performed on the longest tumor axis, especially in the case of polylobulated or giant tumors, while the tomographic examination techniques allow the three-dimensional reconstruction of the tumor with more accurate assessment of the tumor size.
The result of the study includes the data obtained by analyzing a clinical case of upper mesenteric artery syndrome, as well as statistical data and analysis of the literature in this field. The specificity of this case consists in the severity of the complication of a benign malformative disease.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.