What is the best way to treat retroperitoneal liposarcoma with multiple recurrences?

Retroperitoneal liposarcoma is the most common retroperitoneal tumor, the doctor must have explained the basic knowledge to you in the last operation, in life this disease is relatively unfamiliar to most of them, often found late, retroperitoneal space is larger, malignant is more benign is about 5:1, lymphatic metastasis is late, generally has a complete capsule, lobulation, expansion and compression of other organs to produce symptoms after the visit, the tumor is often huge, 10-20kg is not uncommon. Surgery is the first choice, but the difficulty is often not whether it can be cut down but how to cut it to the greatest extent possible, and there are many people who have re-operated in half a year or a year, and patients even ask that as long as they can prolong the next operation, they can accept it, which is very common in clinical practice.

It is recommended to completely resect the tumor, and the following principles should be followed: 1. The first resection is very important, and the depth of the tumor should be evaluated in detail before surgery, including urography, CT 3D images, MRI, angiography and even spinal cord phase, and a complete surgical plan should be formulated, with rich experience, and the tumor resection boundary should be far away from the palpable and visible boundary of the tumor, and no tumor capsule should be left. Tumors involving adjacent organs and blood vessels should be resected in one piece, including part of the gastrointestinal tract, kidney, liver, abdominal wall, and inferior vena cava.

But it is necessary to consider whether the technology can achieve it. Do what you can2 Most patients with retroperitoneal liposarcoma and lipoma** can still be operated, or even repeated surgeries, and strive for surgical resection, and resection will not increase the surgical mortality, but can achieve long-term remission or even **. Cutting off the tumor is not related to **, and joint resection of adjacent structures is necessary to increase the completeness of resection.

Origin: Perirenal liposarcoma is the most common and often accompanied by rapid**, so it is emphasized that resection of the whole block, including the kidney, is the best way to perform retroperitoneal liposarcoma. 3.Surgical excision often leaves a residual satellite foci or intact and careful excision along the fascia4

Radiotherapy is effective in advanced stages but poses great difficulty in reoperation and should be treated with caution.4At present, the progress of retroperitoneal tumors is slow all over the world, and China is a leading technology, concentrated in large hospitals with relatively rich resources, such as 301 Hospital, Changhai Hospital, Fudan University Cancer Hospital, etc. I have studied 301, there are many diseases of this disease, and I have personally participated in many surgeries, and the above experience is discussed.

I watched a lot of liposarcoma patients chatting, and most of them were still discussing what medicine to take, and the surgery was good.

Most liposarcomas wrap around the kidney, and one kidney is cut off. Everyone knows that surgical excision is a temporary necessity.

All patients who have grown long after surgery are aware that they must use methods to inhibit the growth of liposarcoma after surgery, otherwise they will not be able to get off the operating table sooner or later.

Find out.

If there are only 1-2 lesions, you can consider intervention**, and ultrasound focus ** depending on the situation, and the whole process can be combined with traditional Chinese medicine conditioning.

Reply expert: Attending physician of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine - Department of Oncology - Wu Maolin Leasing Bureau.

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Categories: Healthcare.

Problem description: My mother was diagnosed with posterior peritoneal liposarcoma in June 2006, which is low-grade malignant.

On June 7, the first operation, the lipoma enveloped the pancreas and the left kidney, the spleen was removed, the pancreas and the left kidney were peeled off, and the liposarcoma grew from the posterior peritoneum and spread to the sternal ribs, and the resected lipoma weighed more than ten catties. There were no abnormalities in ultrasound after surgery.

On December 3, a CT examination showed that a fist-sized liposarcoma grew in the abdominal cavity near the pancreas and left kidney.

Now the doctor's plan is to surgically resect and remove the pancreas and left kidney, but there is no guarantee that it will not be ** again, and I hope to seek whether there is a better ** plan.

Analysis: Clinical results show that the diameter of the posterior peritoneum can reach more than 20cm, and surgery is the first choice for liposarcoma. Localized wide excision is an effective measure to reduce ** and metastasis.

Because liposarcoma lymph node metastasis is rare, lymph node dissection in the drainage area is not necessary.

Chemotherapy is of little significance due to the low malignancy of sarcoma before well-differentiated fat and the possibility of metastasis is small. If malignancy is severe, chemotherapy may be used.

It should also be noted that the spleen has been spleen, and it will be necessary to take antibiotics for life, and if the pancreas and left kidney are removed, the quality of life will be greatly reduced.

The best way to distinguish Beihehua liposarcoma retroperitoneally is a combination of Chinese and Western, first surgical resection, once there is a residue, the probability of ** is very large, and every time**, the biological behavior of the tumor will be more malignant, and multiple surgeries are also harmful to themselves, so it is necessary to eliminate the tumor of traditional Chinese medicine meridians.

Retroperitoneal fat is the most common retroperitoneal tumor, surgery is the first choice, but there are many people who are re-operated in half a year or a year, and patients even ask that as long as they can prolong the next operation, they can accept it, and even repeat multiple surgeries, and strive to surgically resect, but what I want to say is: cutting off the tumor has nothing to do with **, and it is necessary to combine the meridian constitution tumor elimination method after resection, which can increase the thoroughness of the incision of the bridge. No, you can, and extend your life by more than 5 years, or even longer.

**: Qi deficiency type should strengthen the spleen and invigorate qi, dissolve phlegm and disperse knots. Medicinal:

3 grams of astragalus, 15 grams of ginseng and angelica, 12 grams of Poria cocos, 12 grams of atractylodes and Yuanzhi, 1 gram of black medicine, incense, wood, fritillary, tangerine peel and Chuanxiong, 6 grams of licorice, and 7 jujubes. Qi stagnation type should be soothing the liver and relieving depression, and the chain teasing aging phlegm is dispersed. Medicinal:

15 grams of angelica, 12 grams of tangerine peel, red peony and white peony, 1 gram of black medicine, Chuanxiong, incense, green peel and wood fragrance, 6 grams of licorice, 5 jujubes, 3 slices of ginger. Prescription medicines are available: (1) Erchen pills, 3 grams each time, 2 times a day.

2) Small gold flakes, 4 pieces each time, 3 times a day. External application can be used antitumor cream (borax, aferul in equal parts, a little musk, after grinding, mashed with garlic into paste), vinegar or ginger juice. It can also be used to give birth to Nanxing and fritillary, and adjust the egg white and rice vinegar.

Attention should also be paid to avoid overwork, be in a good mood, and get enough sleep; Regular life, light diet, eat fresh vegetables and fruits; Strictly limit the fat and sweet taste, and quit smoking and drinking.