Abstract
Literature exists on the pattern of dissemination of extremity sarcomas; however, little has been published on the patterns of progression of surgically treated retroperitoneal and visceral sarcoma. Vezeridis and Wanebo commented that gastrointestinal sarcomas spread via three routes — local invasion, peritoneal implantation, and hematogenous dissemination [1], They pointed out, and this has become generally accepted, that spread through the lymphatics is a less common occurrence than with adenocarcinoma. Glenn and coworkers documented the patterns of recurrence of soft tissue sarcomas of the retroperitoneum [2]. Peritoneal Sarcomatosis was the most common form of recurrence seen in 7 of 16 (44%) patients. This report cited many differences between sarcomas of the extremity and those of the retroperitoneum. The one of interest was that retroperitoneal tumors were more often adjacent to major vessels, such as the aorta, vena cava, and superior mesenteric vessels. Also, Potter and coworkers acknowledged the tendency of primary sarcomas of the trunk, retroperitoneum, and head and neck also to be more likely to arise in close proximity to vital structures [3].
Keywords
- Peritoneal Surface
- Uterine Sarcoma
- Pelvic Sidewall
- Early Postoperative Intraperitoneal Chemotherapy
- Retroperitoneal Sarcoma
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.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Vezeridis MP, Wanebo HJ. Gastrointestinal Sarcomas. In Ahlgren J, MacDonald J, Gastrointestinal Oncology. Philadelphia: JB Lippincott, 1992, pp 499–505.
Glenn J, Sindelar WF, Kinsella T, Glatstein E, Tepper J, Costa J, Baker A, Sugarbaker P, Brennan MF, Seipp C, Wesley R, Young RC, Rosenberg SA. Results of multimodality therapy of resectable soft-tissue sarcomas of the retroperitoneum. Surgery 1985;97: 316–324.
Potter DA, Glenn J, Kinsella T, Glatstein E, Lack EE, Restrepo C, White DE, Seipp CA, Wesley R, Rosenberg SA. Patterns of recurrence in patients with high-grade sofe-tissue sarcomas. J Clin Oncol 1985;3:353–366.
Sindelar WF. Cancer of the small intestine. In Cancer Principles and Practice of Oncology. Philadelphia: JB Lippincott, 1989, pp 875–894.
Jacquet PJ, Sugarbaker PH. Clinical research methodologies in diagnosis and staging of patients with peritoneal carcinomatosis. In Sugarbaker PH, ed. Peritoneal Carcinomatosis: Principles of Management. Norwell, MA: Kluwer Academic, 1996, pp 359–374.
Woolson RF. Statistical Methods for the Analysis of Biomedical Data. New York: John Wiley, 1987.
Sugarbaker PH, Cunliffe WJ, Belliveau JF, deBruijn EA, Graves T, Mullins RE, Schlag P. Rationale for integrating early postoperative intraperitoneal chemotherapy (EPIC) into the surgical treatment of gastrointestinal cancer. Semin Oncol 1989;16:83–97.
Sugarbaker PH, Graves T, de Bruijn EA, Cunliffe WJ, Mullins RE, Hull WE, Oliff L, Schlag P. Rationale for early postoperative intraperitoneal chemotherapy (EPIC) in patients with advanced gastrointestinal cancer. Cancer Res 1990;50:5790–5794.
Sugarbaker PH. Observations concerning cancer spread within the peritoneal cavity and concepts supporting an ordered pathophysiology. In Sugarbaker PH, ed. Peritoneal Carcinomatosis: Principles of Management. Norwell, MA: Kluwer Academic, 1996, pp 79–100.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Kluwer Academic Publishers, Boston
About this chapter
Cite this chapter
Sugarbaker, T.A., Chang, D., Koslowe, P., Sugarbaker, P.H. (1996). Patterns of spread of recurrent intraabdominal sarcoma. In: Sugarbaker, P.H. (eds) Peritoneal Carcinomatosis: Principles of Management. Cancer Treatment and Research, vol 82. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1247-5_5
Download citation
DOI: https://doi.org/10.1007/978-1-4613-1247-5_5
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-8531-1
Online ISBN: 978-1-4613-1247-5
eBook Packages: Springer Book Archive