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Benign and Malignant Masses of the Retroperitoneum

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Abdominal Imaging

Abstract

Retroperitoneum is defined as the posterior portion of the abdomen behind the peritoneal space (Fig. 108.1). There are several pathological processes which occur within the retroperitoneum such as trauma, idiopathic, congenital, inflammatory, vascular, and neoplastic disorders. Retroperitoneal trauma can be a life-threatening condition if not diagnosed early. The diagnosis of retroperitoneal diseases is mainly based on cross-sectional imaging since most of the symptoms and clinical examination related to retroperitoneum are usually occult (Fig. 108.2a–c).

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References

  • Arkun R, Memis A, Akalin T, et al. Liposarcoma of soft tissue: MRI findings with pathologic correlation. Skeletal Radiol. 1997;26:167–72.

    Article  PubMed  CAS  Google Scholar 

  • Bhatt S, Ghazale H, et al. Sonographic evaluation of the abdominal aorta. Ultrasound Clin. 2007;2(3):437–53.

    Article  Google Scholar 

  • Choyke PL, Hayes WS, Sesterhenn IA. Primary extragonadal germ cell tumors of the retroperitoneum: differentiation of primary and secondary tumors. Radiographics. 1993;13:1365–75. quiz 1377–68.

    PubMed  CAS  Google Scholar 

  • Cronin CG, Lohan DG, et al. Retroperitoneal fibrosis: a review of clinical features and imaging findings. AJR Am J Roentgenol. 2008;191(2):423–31.

    Article  PubMed  Google Scholar 

  • Daly KP, Ho CP, et al. Traumatic retroperitoneal injuries: review of multidetector CT findings. Radiographics. 2008;28(6):1571–90.

    Article  PubMed  Google Scholar 

  • Dion E, Graef C, et al. Imaging of thoracoabdominal involvement in Erdheim-Chester disease. AJR Am J Roentgenol. 2004;183(5):1253–60.

    Article  PubMed  Google Scholar 

  • Doolin EJ, Goldstein H, et al. Familial retroperitoneal fibrosis. J Pediatr Surg. 1987;22:1092–4.

    Article  PubMed  CAS  Google Scholar 

  • Elsayes KM, Staveteig PT, Narra VR, et al. Retroperitoneal masses: magnetic resonance imaging findings with pathologic correlation. Curr Probl Diagn Radiol. 2007;36:97–106.

    Article  PubMed  Google Scholar 

  • Engelken JD, Ros PR. Retroperitoneal MR imaging. Magn Reson Imaging Clin N Am. 1997;5:165–78.

    PubMed  CAS  Google Scholar 

  • Esiashvili N, Goodman M, Ward K, et al. Neuroblastoma in adults: incidence and survival analysis based on SEER data. Pediatr Blood Cancer. 2007;49:41–6.

    Article  PubMed  Google Scholar 

  • Gore RM, Blafe DM, et al. The great escape: interfascial decompression planes of the retroperitoneum. AJR Am J Roentgenol. 2000;175(2):363–70.

    Article  PubMed  CAS  Google Scholar 

  • Gustafson P, Herrlin K, Biling L, et al. Necrosis observed on CT enhancement is of prognostic value in soft tissue sarcoma. Acta Radiol. 1992;33:474–6.

    PubMed  CAS  Google Scholar 

  • Gutierrez JC, Perez EA, Franceschi D, et al. Outcomes for soft-tissue sarcoma in 8249 cases from a large state cancer registry. J Surg Res. 2007;141:105–14.

    Article  PubMed  Google Scholar 

  • Hammond N, Miller FH, et al. Imaging of cystic diseases of the pancreas. Radiol Clin North Am. 2002;40(6):1243–62.

    Article  PubMed  Google Scholar 

  • Hartman DS, Hayes WS, Choyke PL, et al. From the archives of the AFIP. Leiomyosarcoma of the retroperitoneum and inferior vena cava: radiologic-pathologic correlation. Radiographics. 1992;12:1203–20.

    PubMed  CAS  Google Scholar 

  • Heit JA, Melton LJ, et al. Incidence of venous thromboembolism in hospitalized patients versus community residents. Mayo Clin Proc. 2001;76(11):1102–10.

    Article  PubMed  CAS  Google Scholar 

  • Herman K, Kusy T. Retroperitoneal sarcoma–the continued challenge for surgery and oncology. Surg Oncol. 1998;7:77–81.

    Article  PubMed  CAS  Google Scholar 

  • Jemal A, Siegel R, Ward E, et al. Cancer statistics. CA Cancer J Clin. 2006;56:106–30.

    Article  PubMed  Google Scholar 

  • Kandpal H, Sharma R, et al. Imaging of the inferior vena cava: a road less traveled. Radiographics. 2008;28:669–89.

    Article  PubMed  Google Scholar 

  • Khauli RB, Stoff JS, et al. Post-transplant lymphoceles; a critical look into the risk factors, pathophysiology, and management. J Urol. 1993;150:22–6.

    PubMed  CAS  Google Scholar 

  • Kim T, Murakami T, Oi H, et al. CT and MR imaging of abdominal liposarcoma. AJR Am J Roentgenol. 1996;166:829–33.

    Article  PubMed  CAS  Google Scholar 

  • Kottra JJ, Dunnick NR. Retroperitoneal fibrosis. Radiol Clin North Am. 1996;34(6):1259–75.

    PubMed  CAS  Google Scholar 

  • Kransdorf MJ. Malignant soft-tissue tumors in a large referral population: distribution of diagnoses by age, sex, and location. AJR Am J Roentgenol. 1995;164:129–34.

    Article  PubMed  CAS  Google Scholar 

  • Lewis JJ, Leung D, Woodruff JM, et al. Retroperitoneal soft-tissue sarcoma: analysis of 500 patients treated and followed at a single institution. Ann Surg. 1998;228:355–65.

    Article  PubMed  CAS  Google Scholar 

  • Lin J, Martel W. Cross-sectional imaging of peripheral nerve sheath tumors: characteristic signs on CT, MR imaging, and sonography. AJR Am J Roentgenol. 2001;176:75–82.

    Article  PubMed  CAS  Google Scholar 

  • Lonergan GJ, Schwab CM, Suarez ES, et al. Neuroblastoma, ganglioneuroblastoma, and ganglioneuroma: radiologic-pathologic correlation. Radiographics. 2002;22:911–34.

    PubMed  Google Scholar 

  • Madiba TE, Muckart DJ. Retroperitoneal haematoma and related organ injury: management approach. S Afr J Surg. 2001;39(2):41–5.

    PubMed  CAS  Google Scholar 

  • Molmenti EP, Balfe DM, et al. Anatomy of the retroperitoneum: observations of the distribution of pathologic fluid collections. Radiology. 1996;200(1):95–103.

    PubMed  CAS  Google Scholar 

  • Neville A, Herts BR. CT characteristics of primary retroperitoneal neoplasms. Crit Rev Comput Tomogr. 2004;45:247–70.

    PubMed  Google Scholar 

  • Nishimura H, Zhang Y, Ohkuma K, et al. MR imaging of soft-tissue masses of the extraperitoneal spaces. Radiographics. 2001;21:1141–54.

    PubMed  CAS  Google Scholar 

  • Parums DV. The spectrum of chronic periaortitis. Histopathology. 1990;16(5):423–31.

    Article  PubMed  CAS  Google Scholar 

  • Pirayesh A, Chee Y, Helliwell TR, et al. The management of retroperitoneal soft tissue sarcoma: a single institution experience with a review of the literature. Eur J Surg Oncol. 2001;27:491–7.

    Article  PubMed  CAS  Google Scholar 

  • Rha SE, Byun JY, Jung SE, et al. Neurogenic tumors in the abdomen: tumor types and imaging characteristics. Radiographics. 2003;23:29–43.

    Article  PubMed  Google Scholar 

  • Scialpi M, Scaglione M, et al. Emergencies in the retroperitoneum: assessment of spread of diseases by helical CT. Eur J Radiol. 2004;50(1):74–83.

    Article  PubMed  CAS  Google Scholar 

  • Shelton MW, Morian JP, et al. Pseudomyxoma retroperitonei associated with appendiceal cystadenoma. Am Surg. 1994;60:958–60.

    PubMed  CAS  Google Scholar 

  • Somasundar P, Krouse R, Hostetter R, et al. Paragangliomas– a decade of clinical experience. J Surg Oncol Suppl. 2000;74:286–90.

    Article  CAS  Google Scholar 

  • Song T, Shen J, Liang BL, et al. Retroperitoneal liposarcoma: MR characteristics and pathological correlative analysis. Abdom Imag. 2007;32:668–74.

    Article  Google Scholar 

  • Sung MS, Kang HS, Suh JS, et al. Myxoid liposarcoma: appearance at MR imaging with histologic correlation. Radiographics. 2000;20:1007–19.

    PubMed  CAS  Google Scholar 

  • Swallow CJ, Catton CN. Local management of adult soft tissue sarcomas. Semin Oncol. 2007;34:256–69.

    Article  PubMed  Google Scholar 

  • van Gils AP, Falke TH, van Erkel AR, et al. MR imaging and MIBG scintigraphy of pheochromocytomas and extraadrenal functioning paragangliomas. Radiographics. 1991;11:37–57.

    PubMed  Google Scholar 

  • Vivas I, Nicolas AI, et al. Retroperitoneal fibrosis: typical and atypical manifestations. Br J Radiol. 2000;73:214–22.

    PubMed  CAS  Google Scholar 

  • Walker DI, Bloor K, et al. Inflammatory aneurysms of the abdominal aorta. Br J Surg. 1972;59:609–14.

    Article  PubMed  CAS  Google Scholar 

  • Weiss SW, Goldblum JR. Enzinger and Weiss’s soft tissue tumors. St. Louis: Mosby; 2001.

    Google Scholar 

  • Weiss SW, Rao VK. Well-differentiated liposarcoma (atypical lipoma) of deep soft tissue of the extremities, retroperitoneum, and miscellaneous sites. A follow-up study of 92 cases with analysis of the incidence of “dedifferentiation”. Am J Surg Pathol. 1992;16:1051–8.

    Article  PubMed  CAS  Google Scholar 

  • Yamanaka M, Saitoh F, Saitoh H, et al. Primary retroperitoneal ganglioneuroblastoma in an adult. Int J Urol. 2001;8:130–2.

    Article  PubMed  CAS  Google Scholar 

  • Yang DM, Jung DH, et al. Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review. Radiographics. 2004;24:1353–65.

    Article  PubMed  Google Scholar 

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Correspondence to Parvati Ramchandani M.D. .

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Ramchandani, P., Torigian, D., Dogra, V.S., Onur, M.R. (2013). Benign and Malignant Masses of the Retroperitoneum. In: Hamm, B., Ros, P.R. (eds) Abdominal Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13327-5_235

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  • DOI: https://doi.org/10.1007/978-3-642-13327-5_235

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-13326-8

  • Online ISBN: 978-3-642-13327-5

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