A CASE STUDY ON RETROPERITONEAL MASSES

Volume 13 , Issue 1 , March 2023 , Pages 89-98

Authors

Tahir Abdullah Hawrami 1 ; Dalya Tariq Aziz 2

1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

2 General Surgery Board Trainee, Sulaimani Teaching Hospital, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10401

Keywords

Abstract

Background
Retroperitoneal masses are a large group of uncommon tumours which originate in the retroperitoneal space
in the abdomen. Their diverse presentations and locations make them difficult to diagnose by surgeons and
need precise radiological diagnosis. Most of the diagnosed tumours are in advanced size and stage and are
malignant in nature. Some of them are radio/chemotherapy sensitive but the definite management should be
by complete resections of the tumours.
Objectives
The primary aim of our study is to identify patients diagnosed with retroperitoneal masses among elective
cases in two surgical hospitals in Sulaimani Governorate/ Iraq over four years. All underwent combined
surgical management with chemo/radiotherapy and followed up.
Materials and Methods
Seven patients with retroperitoneal masses are reported in this paper, five of whom are male and two females.
Their ages range from 3 to 72 years, and the mean age is 40.4. In addition, other surgeons who practiced in
different specialties brought some of the cases to us. Over four years, they were hospitalized and treated at
Sulaimani Teaching Hospital and Soma Private Hospital. The patients underwent surgery following a thorough
history, physical examination, and imaging, and the histological findings determined the definitive diagnosis.
In addition to direct questioning the patients and patients’ parents (as one case was a child) to obtain their
consent, information was gathered from the medical records of both hospitals.
Results
Complete resection of retroperitoneal tumours by surgical approach was reported in five patients included in
the study, and residual tumours were reported in two. An uneventful post-operative period in all of them, and
recurrence was recorded in the follow-up period in three of them. Histopathological findings were: two welldifferentiated liposarcomas, one dedifferentiated liposarcoma, one Ewing sarcoma, one rhabdomyosarcoma,
one ganglioneuroma, and one lipoma. Mortality was reported in three of the patients.
Conclusion
Retroperitoneal tumours are rare and require precise diagnosis by physical examination and imaging
modalities. The primary management method in our study was surgical resection combined with neoadjuvant
chemo/radiotherapy and regular follow-up.

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  • Published at21 March 2023

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