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
Ahdallah R, Morse B, Hakam A, Shahzad MMK (2016) Pelvic squamous cell carcinoma of unknown primary: a case report and review of the literature. Eur J Gynaecol Oncol 37:430–433
Boneschi M, Erba M, Cusmai F, Eusebio D, Miani S, Bortolani EM (1999) I tumori retroperitoneali primitivi. Modalità di trattamento e fattori prognostici [Primary retroperitoneal tumors. Treatment modality and prognostic factors]. Minerva chirurgica 54(11):763–768.
Brennan C, Kajal D, Khalili K, Ghai S (2014) Solid malignant retroperitoneal masses—a pictorial review. Insights Imaging 5:53–65. https://doi.org/10.1007/s13244-013-0294-0
Chen C, Yeh S, Chiou J et al (2011) Optimum treatment for primary squamous cell carcinoma of the pelvic retroperitoneum. J Exp Clin Med 3:304–306. https://doi.org/10.1016/j.jecm.2011.10.006
Clements A, Euscher E, Lacour R et al (2010) The presence of human papillomavirus or p16 in six cases of retroperitoneal carcinoma. Obstet Gynecol 116:1042–1046. https://doi.org/10.1097/AOG.0b013e3181f88ddf
Cucinella G, Sozzi G, Di Donna MC et al (2022) Retroperitoneal squamous cell carcinoma involving the pelvic side wall arising from endometriosis: a case report. Gynecol Obstet Invest 87:159–164. https://doi.org/10.1159/000520983
Isbell A, Fields EC (2016) Three cases of women with HPV-related squamous cell carcinoma of unknown primary in the pelvis and retroperitoneum: a case series. Gynecol Oncol Reports 16:5–8. https://doi.org/10.1016/j.gore.2016.01.005
Khalil A, Shabb N, Hourani M et al (2005) Primary squamous cell carcinoma of the pelvic retroperitoneum presenting as an adnexal mass: a case report. J Obstet Gynaecol (lahore) 25:92–93. https://doi.org/10.1080/01443610400025523
Kitamura H, Kashiwada T, Komiya K et al (2015) A case with cancer of unknown primary diagnosed pathologically retroperitoneal squamous cell carcinoma. Ann Oncol 26:112. https://doi.org/10.1093/annonc/mdv472.29
Koh DM, Moskovic E (2000) Imaging tumours of the retroperitoneum. Imaging 12:49–60. https://doi.org/10.1259/img.12.1.120049
Matsuzaka Y, Yamaguchi K, Moriyoshi K et al (2019) Primary retroperitoneal squamous cell carcinoma: a case report with review of the literature. Int Cancer Conf J 8:61–65. https://doi.org/10.1007/s13691-018-00354-2
Mrklić I, Bendić A, Pogorelić Z et al (2013) Squamous metaplasia of the peritoneum. Int J Surg Pathol 21:82–84. https://doi.org/10.1177/1066896912450316
Oh HJ, Park EH, Lee YB et al (2015) HPV-related retroperitoneal squamous cell carcinoma of unknown primary: a case report. Cancer Res Treat 47:954–957. https://doi.org/10.4143/crt.2014.111
Rajiah P, Sinha R, Cuevas C et al (2011) Imaging of uncommon retroperitoneal masses. Radiographics 31:949–976. https://doi.org/10.1148/rg.314095132
Schatz JE, Colgan TJ (1991) Squamous metaplasia of the peritoneum. Arch Pathol Lab Med 115:397–398
Strauss DC, Hayes AJ, Thomas JM (2011) Retroperitoneal tumours: review of management. Ann R Coll Surg Engl 93:275–280. https://doi.org/10.1308/003588411X571944
Tirkes T, Sandrasegaran K, Patel AA et al (2012) Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging. Radiographics 32:437–451. https://doi.org/10.1148/rg.322115032
Wee-Stekly WW, Mueller MD (2014) Retroperitoneal tumors in the pelvis: a diagnostic challenge in gynecology. Front Surg 1:10–13. https://doi.org/10.3389/fsurg.2014.00049
Funding
None.
Author information
Authors and Affiliations
Contributions
AP and DK: wrote the main manuscript text and designed the concept, PG and DK: did the literature search, KP: conceptualized tables, RK: did the editing. All authors reviewed the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Pandey, A., Kumar, D., Gupta, P. et al. Primary retroperitoneal squamous cell carcinoma: a literature review. J Cancer Res Clin Oncol 149, 12507–12512 (2023). https://doi.org/10.1007/s00432-023-04969-8
Received:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1007/s00432-023-04969-8