Primary retroperitoneal soft tissue sarcoma: Imaging appearances, pitfalls and diagnostic algorithm
| Autor: | E. Moskovic, R Benchimol, Dirk C. Strauss, Carlo Morosi, S. Bonvalot, D. Vanel, Christina Messiou, H Douis, Aisha Miah, W.J. van Houdt |
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| Rok vydání: | 2016 |
| Předmět: |
Image-Guided Biopsy
Leiomyosarcoma medicine.medical_specialty Retroperitoneal sarcomas Contrast Media Context (language use) Liposarcoma 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences 0302 clinical medicine medicine Humans Retroperitoneal sarcoma Retroperitoneal Neoplasms Retroperitoneal mass business.industry Soft tissue sarcoma food and beverages Sarcoma General Medicine medicine.disease Magnetic Resonance Imaging Oncology 030220 oncology & carcinogenesis Surgery Biopsy Large-Core Needle Radiology Differential diagnosis Tomography X-Ray Computed business Algorithms |
| Zdroj: | European Journal of Surgical Oncology (EJSO). |
| ISSN: | 0748-7983 |
| DOI: | 10.1016/j.ejso.2016.10.032 |
| Popis: | Although retroperitoneal sarcomas are rare tumours, they can be encountered by a wide variety of clinicians as they can be incidental findings on imaging or present with non specific symptoms and signs. Surgical resection can offer hope of cure and patient outcomes are improved when patients are managed in high-volume specialist centers. Failure to recognize retroperitoneal sarcomas on imaging can lead to inappropriate management in inexperienced centers. Therefore it is critical that a diagnosis of retroperitoneal sarcoma should be considered in the differential diagnosis of a retroperitoneal mass with prompt referral to a soft tissue sarcoma unit. In particular, the most common retroperitoneal sarcoma subtypes, liposarcoma and leiomyosarcoma, have characteristic imaging appearances which are discussed. This review therefore aims to set the context and guide clinicians through a diagnostic pathway for retroperitoneal masses in adults which arise extrinsic to the solid abdominal viscera. |
| Databáze: | OpenAIRE |
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