authors
-
Zygmunt Dobrowolski 1, Mieczysław Gałęzia 2, Wacław Lipczyński 1, Wojciech Habrat 1, Bolesław Papla 3, Jerzy Stachura 3
- 1 Katedra i Klinika Urologii Collegium Medicum UJ
Kierownik: dr hab. med. Z. Dobrowolski
2 Oddział Urologii Szpitala w Czerwonej Górze
Ordynator: dr med. M. Gałęzia
3 Katedra Patomorfologii Collegium Medicum UJ
Kierownik: prof. dr hab. med. J. Stachura
keywords
-
retroperitoneal space ? non-typical tumours
summary
- Retroperitoneal tumours descend from kidneys, ureters, nerve, muscular and
- connective tissue. They could exist not only as a Solitary or numerous changes
- but co exist with inflammations as well.
- Material and method. There were treated 13 patients with rare tumorurs of
- retroperitoneal space in Urological Clinic in Kraków and Urological Ward in
- Czerwona Góra in period 1992-1998. Their age was 43-82 years. There were 7
- males and 6 females. Kidney tumour was recognized in 12 patients and suprarenal
- tumour in 1 case. There were performed usg, IVU and CT in diagnostic procedure.
- Additionally renal arteriography was performed in 5 cases. Kidney biopsy were
- performed in 7 patients. Nephrectomy and lymphadenectomy were performed
- in all cases with kidney tumour. There were found oncocytoma in 2 cases,
- angiomyolipoma in 4 cases, Sarcoma in 1, adenocarcinoma sarcomatoides in 1
- and carcinoid in 1 case. Angiolipoleiomyoma was found in one patient.
- Leiomyosarcoma was found in 2 patients which co existed with renal cell
- carcinoma in 1 case, 2nd patient had also tbc. One suprarenal tumour turned to
- be myelolipoma.
- Conclusions. Usg is method of choice in retroperitoneal tumours diagnosis
- and MRI when needed. However, CT, arteriography and biopsy are often needed
- to complete diagnosis. Coexistance of other illness makes diagnosis and treatment
- more difficult. The risk of laparotomy and radical operation should be undertaken
- in rare and extensive tumours of retroperitoneal space.
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