Clinical Orthopaedics and Related Research®

, Volume 471, Issue 3, pp 891–898 | Cite as

Adult Soft Tissue Sarcoma Local Recurrence After Adjuvant Treatment Without Resection of Core Needle Biopsy Tract

  • Odion Binitie
  • Shawn Tejiram
  • Sheila Conway
  • David Cheong
  • H. Thomas Temple
  • G. Douglas Letson
Symposium: Highlights from the First Combined 2011 Meeting of the Musculoskeletal Tumor Society and Connective Tissue Oncology Society

Abstract

Background

Core needle biopsies of sarcomas allow a diagnosis in a high percentage of patients with few complications. However, it is unclear whether the tract needs to be excised to prevent recurrences.

Questions/purposes

We therefore determined the rates of recurrence and metastases in patients with Stage III extremity sarcomas, who underwent wide local resection without excision of the needle tract and also received adjuvant treatment.

Methods

We retrospectively reviewed 59 adult patients with deep, larger than 5 cm, high-grade soft tissue sarcomas of the upper or lower extremity treated between January 1999 and April 2009. All the patients underwent a core needle biopsy. Resection was performed with wide margins. The biopsy tract was not resected during the definitive surgery. Fifty-seven patients (97%) received preoperative and/or postoperative radiation, whereas 49 patients (83%) received chemotherapy. Local recurrence and distant recurrence rates were determined. The minimum followup was 24 months (median, 56 months; range, 24–122 months).

Results

The local recurrence rate was 9%. Fifteen patients (25%) developed metastasis after diagnosis. Seven of the 59 patients (12%) had microscopic positive margins at resection.

Conclusions

Our data demonstrate no increase in local recurrence rates or rates of metastatic disease compared with previously published studies when resection of the core biopsy tract was not performed.

Level of Evidence

Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Copyright information

© The Association of Bone and Joint Surgeons® 2012

Authors and Affiliations

  • Odion Binitie
    • 1
  • Shawn Tejiram
    • 1
  • Sheila Conway
    • 2
  • David Cheong
    • 1
  • H. Thomas Temple
    • 2
  • G. Douglas Letson
    • 1
  1. 1.H. Lee Moffitt Cancer Center & Research InstituteSarcoma ProgramTampaUSA
  2. 2.Department of Orthopaedics and RehabilitationUniversity of Miami Miller School of MedicineMiamiUSA

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