儿童原发性腹膜后恶性肿瘤的诊断与治疗

分析原发性腹膜后恶性肿瘤１２例。８３％以腹块和腹痛为主要症状，体征中腹块占９１．５％，以恶性淋巴瘤居首位占６１％。全组完全切除率为５８％，行脏器联合切除占２５％。完全切除加放疗、化疗３年存活率为２８．５％，部分切除及活检未给其它治疗者５例预后差，均１年内死亡，差别显著。

DIAGNOSIS AND TREATMENT OF PRIMARY RETROPERITONEAL MALIGNANT TUMOR IN CHILDREN

cases of child patients who underwent the treatment for primary retroperitoneal malignant tumors at our department in recent 20 years were analyzed Abdominal pain and mass were the main symptoms in 83% of the patients 11 patients (91 5%) had the sign of abdominal mass while malignant lymphoma was the most common tumor in these cases, which made up 61% Of all these 12 patients, the rate of complete surgical excision of the tumors was 58%. The removal of the tumor along with the adjacent organs was 25% The survival rate was 28 5% in those who had their tumors completely removed and received chemotherapy and radiation therapy 5 patients had unfavorable prognosis who had their tumors partly removed or biopical and no any other treatments later on, they all died with one year The difference is remarkmable