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نتیجه جستجو - Retroperitoneal neoplasms

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1 Retro-peritoneal paraganglioma, diagnosis and management
paraganglioma یکپارچه صفاقی، تشخیص و مدیریت-2018
Introduction. — Paragangliomas, defined as extra-adrenal chromaffin-cells tumors, are rarely located in the retro-peritoneum. Clinical presentation is similar to pheochromocytoma, and mainly depends on the producing character of the tumor. Positive diagnosis requires plasmatic and urinary hormonal assays. Radiological and isotopic explorations are essential before surgery. The only curative therapeutic strategy is surgical, associated to peri-operative prevention and monitoring of the frequently reported hemodynamic and cardiovascular disorders. Outcome depends of the metastatic character of the tumor, the presence of tumor remnant after surgi cal resection. Genetic study is recommended; the risk of recurrence and association to other neoplasm is more described in genetic forms. Material and methods. — Authors report 5 cases of retro-peritoneal paraganglioma, operated in the department of urology of Hospital, between 2013 and 2017. Observations are about 2 men and 3 women. Clinical presentation is not always specific and paraganglioma may be discovered fortuitously. Two patients have been operated by coelioscopic approach, midline incision was performed in two other cases, and dorsal lumbotomy associated to a Rutherford Morrison incision in a patient.
KEYWORDS : Paraganglioma ; Retroperitoneal neoplasms ; Anesthesia ; Surgery
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