Primary retroperitoneal leiomyosarcoma: a clinical and pathological study of 11 cases

VernacularTitle:腹膜后平滑肌肉瘤11例临床及病理分析
Author: Guanhuier WANG ; Lianbo HE ; Kaiwei YANG ; Zicheng WANG ; Li CHENG ; Jian LIN
Keywords: Retroperitoneal neoplasms; Leiomyosarcoma; Pathology
From: Chinese Journal of Urology 2016;37(12):916-919
CountryChina
Language:Chinese
Abstract: Objective To analyze the clinical characteristics,pathology,CT characteristics and targeted therapy of primary retroperitoneal leiomyosarcoma treated at our institution during the past 20 years.Methods A retrospective review was performed among 11 patients of this disease.The main performances were hematuria,abdominal mass and abdominal pain.Non-enhanced CT scanning showed soft tissue density in all cases.Tri-phase enhanced scanning showed reinforcement in different degrees.Pathology results showed tissue necrosis.The pathology featured by routine HE and immumohistochemical staining.Results Surgical treatment was performed in all 11 patients.Postoperative pathology showed that median tumor diameter was 14.40cm.Spindle cell,cellular abnormity and mitotic figures could be seen through light microscope.During follow-up,3 cases recurrenced after 2 months,3 years and 5 years respectively.Conclusions Primary retroperitoneal leiomyosarcoma might have a high fatality rate and high recurrence rate.The clinical and CT features are unapparent.Pathology diagnosis is reliable,surgery is necessary to prolong life and cure disease.