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NON-TYPICAL TUMOURS OF RETROPERITONEAL SPACE
Article published in Urologia Polska 2000/53/2.

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.

references

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