Skip to main content

Soft Tissue Sarcomas of the Extremities

  • Chapter
  • First Online:
Controversies in Radiation Oncology

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

  • 688 Accesses

Abstract

Soft tissue sarcomas are highly diverse mesenchymal malignancies of muscle, peripheral nerves, and adipose or fibrous connective tissues. Sarcoma classification had been entirely based on resemblance to various tissue types. More recently, classifications have been revised to include molecular features and genetic profiles of sarcoma. While our treatment paradigms for soft tissue sarcomas were developed on, what we know now to be oversimplified, histologic classifications, the addition of specific karyotyping and biomarkers has not changed our overall approach to these tumors in the majority. The local therapy paradigms are still based on surgery and radiation for the vast majority of these tumors.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Beane JD, Yang JC, White D et al (2014) Efficacy of adjuvant radiation therapy in the treatment of soft tissue sarcoma of the extremity: 20-year follow-up of a randomized prospective trial. Ann Surg Oncol 21:2484–2489

    Article  Google Scholar 

  • Davis AM, O’Sullivan B, Bell RS et al (2002) Function and health status outcomes in a randomized trial comparing preoperative and postoperative radiotherapy in extremity soft tissue sarcoma. J Clin Oncol 20:4472–4477

    Article  CAS  Google Scholar 

  • Davis AM, O’Sullivan B, Turcotte R et al (2005) Late radiation morbidity following randomization to preoperative versus postoperative radiotherapy in extremity soft tissue sarcoma. Radiother Oncol 75:48–53

    Article  Google Scholar 

  • Dickie CI, Griffin AM, Parent AL et al (2012) The relationship between local recurrence and radiotherapy treatment volume for soft tissue sarcomas treated with external beam radiotherapy and function preservation surgery. Int J Radiat Oncol Biol Phys 82:1528–1534

    Article  Google Scholar 

  • Li XA, Chen X, Zhang Q et al (2016) Margin reduction from image guided radiation therapy for soft tissue sarcoma: secondary analysis of Radiation Therapy Oncology Group 0630 results. Pract Radiat Oncol 6:e135–e140

    Article  Google Scholar 

  • O’Sullivan B, Davis AM, Turcotte R et al (2002) Preoperative versus postoperative radiotherapy in soft-tissue sarcoma of the limbs: a randomised trial. Lancet 359:2235–2241

    Article  Google Scholar 

  • Pervaiz N, Colterjohn N, Farrokhyar F et al (2008) A systematic meta-analysis of randomized controlled trials of adjuvant chemotherapy for localized resectable soft-tissue sarcoma. Cancer 113:573–581

    Article  Google Scholar 

  • Pisters PW, Harrison LB, Leung DH et al (1996) Long-term results of a prospective randomized trial of adjuvant brachytherapy in soft tissue sarcoma. J Clin Oncol 14:859–868

    Article  CAS  Google Scholar 

  • Rosenberg SA, Tepper J, Glatstein E et al (1982) The treatment of soft-tissue sarcomas of the extremities: prospective randomized evaluations of (1) limb-sparing surgery plus radiation therapy compared with amputation and (2) the role of adjuvant chemotherapy. Ann Surg 196:305–315

    Article  CAS  Google Scholar 

  • Sarcoma Meta-analysis Collaboration (1997) Adjuvant chemotherapy for localised resectable soft-tissue sarcoma of adults: meta-analysis of individual data. Lancet 350:1647–1654

    Article  Google Scholar 

  • Wang D, Bosch W, Roberge D et al (2011) RTOG sarcoma radiation oncologists reach consensus on gross tumor volume and clinical target volume on computed tomographic images for preoperative radiotherapy of primary soft tissue sarcoma of extremity in Radiation Therapy Oncology Group studies. Int J Radiat Oncol Biol Phys 81:e525–e528

    Article  Google Scholar 

  • Wang D, Zhang Q, Eisenberg BL et al (2015) Significant reduction of late toxicities in patients with extremity sarcoma treated with image-guided radiation therapy to a reduced target volume: results of Radiation Therapy Oncology Group RTOG-0630 trial. J Clin Oncol 33:2231–2238

    Article  Google Scholar 

  • Zagars GK, Ballo MT, Pisters PW et al (2003) Preoperative vs. postoperative radiation therapy for soft tissue sarcoma: a retrospective comparative evaluation of disease outcome. Int J Radiat Oncol Biol Phys 56:482–488

    Article  Google Scholar 

  • Zer A, Prince RM, Amir E et al (2018) Multi-agent chemotherapy in advanced soft tissue sarcoma (STS)—a systematic review and meta-analysis. Cancer Treat Rev 63:71–78

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arthur Y. Hung .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Binder, C., Hung, A.Y. (2019). Soft Tissue Sarcomas of the Extremities. In: Lo, S., Teh, B., Jiang, GL., Mayr, N. (eds) Controversies in Radiation Oncology. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2019_219

Download citation

  • DOI: https://doi.org/10.1007/174_2019_219

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-51194-8

  • Online ISBN: 978-3-319-51196-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics