A Short-Term Prospective Study of Retroperitoneal Tumours in a Tertiary Hospital in Eastern India.
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Date
2020-02
Journal Title
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Volume Title
Publisher
Akshantala Enterprises Private Limited
Abstract
Retroperitoneal tumours are rare but diverse group of neoplasms that arise from the retroperitoneum, and account for 10% of all soft tissue tumours. Managing retroperitoneal tumours is challenging because they typically present at a relatively late stage, and are anatomically proximate to major vessels and vital organs. This study was carried out to find out different clinicopathological profiles of patients who presented with retroperitoneal tumours in our hospital during the tenure of this study.METHODSThis is an observational study. 25 patients with retroperitoneal tumours were studied. For statistical analysis, data was entered into a Microsoft Excel spreadsheet and then analysed with SPSS Version 25.0.RESULTSIn our study, we studied 25 patients with retroperitoneal tumours. Most of the patients were in the age group of 40-60 years (48.00%) with a mean age of 42 years and standard deviation of 15.0416. The most common presenting complaint (s) in the patient population attending our institution was abdominal lump and pain (40.00%) followed by pain (32%). Amongst the signs, 96% of the patients had an abdominal lump and 92% had tenderness. Transabdominal ultrasonography revealed 16 homogeneous and 9 heterogeneous masses for which computed tomography (CT Scan W/A) was done for all 25 patients studied which depicted 19 homogeneous (solid or cystic) and 6 mixed primary retroperitoneal tumours. All patients underwent open surgery at our institute, but complete resection was possible in only 18 (72.00%) patients whereas 4 (16.00%) underwent a partial resection and 3 patients were inoperable. 17 cases are reported to be malignant (68.00%) with complete curative resection with margins free of tumour in 52.94% of them and 8 cases were benign (32.00%) and all of them were found to have clear margins. Among the malignant tumours, liposarcomas were the most common while neural tissue tumours were the most common benign type.CONCLUSIONSThe incidence of retroperitoneal tumours is maximum in the 5th decade of life, though it can occur in any age group. Symptoms of pain abdomen, abdominal lump should be properly evaluated to diagnose retroperitoneal tumours
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Keywords
Primary Retroperitoneal Tumour, Clinicopathological Profile
Citation
Das Saurabh, Das Arindam, Mandal Priya Ranjan. A Short-Term Prospective Study of Retroperitoneal Tumours in a Tertiary Hospital in Eastern India.. Journal of Evolution of Medical and Dental Sciences. 2020 Feb; 9(7): 448-452