Advertisement

Operative Treatment of Soft-Part Sarcomas

  • Walter LawrenceJr.
  • James P. Neifeld
  • Jose J. Terz
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)

Abstract

Although soft-part sarcomas are radiosensitive, their rate of curability by radiation alone is limited, and surgical resection is accepted as the treatment of choice for most primary tumors. Adjuvant therapy with radiation might well affect the scope of the operation employed, and the data available for defining the value of this adjuvant treatment will be discussed in Chapter 11. The major treatment decision for sarcomas relates to the extent of surgical resection employed, a factor primarily dictated by the anatomic relationships of the individual tumor. Most sarcomas arise in an extremity where a decision regarding amputation must be made. The key principle of resection is that of achieving surgical margins adequate to prevent local treatment failure. In this regard there is some degree of uncertainty as to how wide the gross margins must be, whether total compartmental excision is always required, and the possible role of the histologic grade of the sarcoma in the choice of operative procedure. The heterogeneity of sarcomas, from the standpoint of histologic types, histologic grades, and anatomic locations, does make definition of the optimal operation difficult, but the procedures illustrated in subsequent chapters will serve as general guides for the surgeon.

Keywords

Regional Lymph Node Soft Tissue Sarcoma Synovial Sarcoma Fibrous Histiocytomas Local Failure Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bowden L, Booher RJ: The principles and technique of resection of soft parts for sarcoma. Surgery 44: 963 – 977, 1958.PubMedGoogle Scholar
  2. 2.
    Cantin J, McNeer GP, Chu F, Booher RJ: The problem of local recurrence after treatment of soft tissue sarcoma. Ann Surg 168: 47 – 53, 1968.PubMedCrossRefGoogle Scholar
  3. 3.
    Devereux DF, Wilson RE, Corson JM, Antman KH, Greenberger JS: Surgical treatment of low grade soft tissue sarcomas. Am J Surg 143: 490 – 494, 1982.PubMedCrossRefGoogle Scholar
  4. 4.
    Enneking WF, Spanier SS, Malawer MM: The effect of the anatomic setting on the results of surgical procedures for soft parts sarcoma of the thigh. Cancer 47: 1005 – 1022, 1981.PubMedCrossRefGoogle Scholar
  5. 5.
    Lee Y-TN, Moore TN, Schwinn CP: Metastasis of sarcomatous lesion in regional lymph node. J Surg Oncol 20: 53 – 58, 1982.PubMedCrossRefGoogle Scholar
  6. 6.
    Lindberg RD, Martin RG, Romsdahl MM, Barkley HT: Conservative surgery and postoperative radiotherapy in 300 adults with soft tissue sarcomas. Cancer 47: 2391 – 2397, 1981.PubMedCrossRefGoogle Scholar
  7. 7.
    Rosenberg SA: Treatment of soft tissue sarcomas. In Lawrence W Jr, Ghosh B (eds): Surgical Oncology Research Workshop. NIH Publication No. 82–2444, September 9, 1981.Google Scholar
  8. 8.
    Shiu MH, Castro E1B, Hajdu SI, Fortner JG: Surgical treatment of 297 soft tissue sarcomas of the lower extremities. Ann Surg 182: 597 – 602, 1975.PubMedCrossRefGoogle Scholar
  9. 9.
    Suit HD, Proppe KH, Mankin HJ, Wood WC: Preoperative radiation therapy for sarcoma of soft tissue. Cancer 47: 2269 – 2274, 1981.PubMedCrossRefGoogle Scholar
  10. 10.
    Weingrad DN, Rosenberg SA: Early lymphatic spread of osteogenic and soft tissue sarcomas. Surgery 84: 231 – 240, 1978.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1983

Authors and Affiliations

  • Walter LawrenceJr.
    • 1
    • 2
  • James P. Neifeld
    • 1
    • 2
  • Jose J. Terz
    • 3
  1. 1.Division of Surgical OncologyMedical College of Virginia (Virginia Commonwealth University)RichmondUSA
  2. 2.Massey Cancer CenterMedical College of Virginia (Virginia Commonwealth University)RichmondUSA
  3. 3.Department of General Oncologic SurgeryCity of Hope National Medical CenterDuarteUSA

Personalised recommendations