The following symptoms and complaints may occur together with retroperitoneal space-occupying lesion: Leading symptom Palpation finding (palpation finding) of a mass (usually incidental finding; by then, it is usually already of considerable size) Incidental finding If applicable, abdominal discomfort
The medical history (history of the patient) represents an important component in the diagnosis of retroperitoneal mass. Family history Social history What is your occupation? Are you exposed to harmful working substances in your profession? Current medical history/systemic medical history (somatic and psychological complaints). What changes have you noticed? How long have these changes existed? … Retroperitoneal Mass: Medical History
Respiratory System (J00-J99) Bronchogenic cysts (congenital lung malformation). Infectious and parasitic diseases (A00-B99). Tuberculosis (consumption). Circulatory system (I00-I99) Lymphangiomas (benign tumors (hamartoma) of the lymphatic vessels). Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Retroperitoneal abscess (collection of pus). Musculoskeletal system and connective tissue (M00-M99). Psoas abscess – abscess (collection of pus) in the iliopsoas … Retroperitoneal Mass: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Lymph node stations (cervical, axillary, supraclavicular, inguinal) including palpation (palpation). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin … Retroperitoneal Mass: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity … Retroperitoneal Mass: Test and Diagnosis
Obligatory medical device diagnostics. Abdominal ultrasonography (ultrasound of abdominal organs). Computed tomography of the abdomen (abdominal CT), thorax (chest CT), and pelvis (pelvic CT) – for advanced diagnosis [gold standard]. Biopsy, usually CT-guided or percutaneous needle biopsy (tissue examination) under ultrasound guidance. Optional medical device diagnostics – depending on the results of the history, physical … Retroperitoneal Mass: Diagnostic Tests
