Primary retroperitoneal squamous cell carcinoma: a literature review.

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This literature review of fourteen cases characterizes primary retroperitoneal squamous cell carcinoma, identifying human papillomavirus association and proposing surgery with adjuvant therapy as a feasible treatment strategy.

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This literature review examines primary retroperitoneal squamous cell carcinoma, a rare malignancy with unknown etiology and no standardized treatment protocols. By analyzing seven articles comprising fourteen cases, the authors identify abdominal mass and discomfort as common presentations, noting an association with human papillomavirus in many instances. The paper concludes that surgery followed by adjuvant radiotherapy or chemotherapy is a feasible management strategy, though it emphasizes the need for multicenter trials to establish definitive guidelines due to the scarcity of data. Relevance to endometriosis: listed as one indication for surgical intervention in pelvic masses, with one cited case report specifically describing retroperitoneal SCC arising from endometriosis.

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Abstract

PurposeRetroperitoneal squamous cell carcinoma is an extremely rare histological variant of retroperitoneal tumors. The exact etiology and origin of the same is still unknown. To date, only a few case reports have been published in the literature. Due to rarity, standard treatment protocol is not available. The article aims to review the literature and treatment options available for this uncommon entity, based on available data.MethodsWe searched the databases like PubMed, PubMed Central, Scopus, and Google Scholar with the keywords "Squamous cell carcinoma" and "retroperitoneal tumors". Peer-reviewed and recent articles were screened.ResultsSeven relevant articles comprising 14 cases were found. Due to the small number of reports, tabulation of treatment details and outcome was done. Like the sarcoma variant, these tumors also present with a large mass in the abdomen and abdominal discomfort. Association with human papillomavirus appears to be the most common factor that gives rise to squamous histology.ConclusionRetroperitoneal SCC is an uncommonly diagnosed entity. Although no specific treatment guidelines exist for this uncommon malignancy; surgery followed by adjuvant or definitive radiotherapy with concurrent chemotherapy (in inoperable cases) seems a feasible option. Multicentre trials should be conducted for establishing definitive treatment strategies for this ailment.
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Abstract

Purpose Retroperitoneal squamous cell carcinoma is an extremely rare histological variant of retroperitoneal tumors. The exact etiology and origin of the same is still unknown. To date, only a few case reports have been published in the literature. Due to rarity, standard treatment protocol is not available. The article aims to review the literature and treatment options available for this uncommon entity, based on available data.

Methods

We searched the databases like PubMed, PubMed Central, Scopus, and Google Scholar with the keywords “Squamous cell carcinoma” and “retroperitoneal tumors”. Peer-reviewed and recent articles were screened.

Results

Seven relevant articles comprising 14 cases were found. Due to the small number of reports, tabulation of treatment details and outcome was done. Like the sarcoma variant, these tumors also present with a large mass in the abdomen and abdominal discomfort. Association with human papillomavirus appears to be the most common factor that gives rise to squamous histology.

Conclusion

Retroperitoneal SCC is an uncommonly diagnosed entity. Although no specific treatment guidelines exist for this uncommon malignancy; surgery followed by adjuvant or definitive radiotherapy with concurrent chemotherapy (in inoperable cases) seems a feasible option. Multicentre trials should be conducted for establishing definitive treatment strategies for this ailment. Similar content being viewed by others

References

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