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Paper Information

Journal:   IRANIAN JOURNAL OF SURGERY   WINTER 2009 , Volume 16 , Number 4; Page(s) 53 To 58.
 
Paper: 

PELVIC MASSES: CONTEMPORARY SURGICAL OUTCOME

 
 
Author(s):  ZARGAR SHOUSHTARI M.A.*, SHAHROKH H., AJAMI H., KHANEHDAN B., SAFARI HOSSEIN
 
* IRAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, SHAHID HASHEMINEJAD HOSPITAL, TEHRAN, IRAN
 
Abstract: 
Introduction & Objective: Regarding low incidence of retro peritoneal masses and related surgeries, we studied the results of surgical approaches for these masses (except prostate) in recent years to justify success of early surgery, in low stage retroperitoneal masses.
Materials & Methods: We studied 17 patients with retroperitoneal masses who had undergone extensive surgery in Hasheminejad Kidney Center, since ten years ago.
Results: Six of seventeen patients had pelvic soft tissue sarcoma, three cases had tumors with neural origin, two cases with seminal vesicol carcinoma, two cases with retroperitoneal fibrosis, one case with endometriosis, one case with grem-cell tumor, following UDT, and one case with pelvic abscess following GU- manipulation. In most of the patients, disease free survival was more than five years.
12 of 17 patients have had tumor without invasion to vital pelvic organ and bladder, which 92% of them (11 patients), had five years survival. In parallel 29% of patients (5 of 17 patients) had a tumor with invasion to pelvic vital organ or peritoneum. None of them had a five year survival.
We have seen three local invasions in five patients (30%) that tumor resection was performed for thereof them. The pathologic stage and negative surgical margin of tumor were the main prognostic factors for patient survival rate.
Conclusions: Wide resection of tumoral mass, the whole soft tissue and lymphnodes surrounding the tumors that lead to negative surgical margin, is the principle management in the non metastatic pelvic masses that lead to negative surgical margin.
 
Keyword(s): RETROPERITONEAL PELVIC MASS, PELVIC MASSES TRANSRECTAL SONOGRAPHY
 
References: 
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