Primary retroperitoneal soft tissue sarcoma: Imaging appearances, pitfalls and diagnostic algorithm.

View/ Open
Publication Date
2017-07Author
Messiou, C
Moskovic, E
Vanel, D
Morosi, C
Benchimol, R
Strauss, D
Miah, A
Douis, H
van Houdt, W
Bonvalot, S
Type
Journal Article
Metadata
Show full item recordAbstract
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.
Collections
Version of record
Subject
Humans
Sarcoma
Retroperitoneal Neoplasms
Contrast Media
Diagnosis, Differential
Tomography, X-Ray Computed
Magnetic Resonance Imaging
Algorithms
Image-Guided Biopsy
Biopsy, Large-Core Needle
Language
eng
Date accepted
2016-10-24
License start date
2017-07
Citation
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 2017, 43 (7), pp. 1191 - 1198