Soft Tissue Tumors of the Groin and Inguinal Region

  • Stefano Radaelli
  • Chiara Colombo
  • Marco Fiore
  • Alessandro Gronchi
Chapter

Abstract

Soft tissue sarcomas (STSs) are rare tumors accounting for 1% of all adult malignancies. Due to their histological variety and heterogeneous anatomical presentation, treatment may be extremely complex, requiring peculiar expertise. Before planning any therapeutic approach, core needle percutaneous biopsy is mandatory and although surgery with negative margins is the mainstay of cure, complementary chemo and radiation therapies are often advocated, especially in high grade tumors. STSs of the groin and inguinal region account between 5 and 10% of all soft tissue malignancies, arising from the inguinal canal, the spermatic cord and the anatomical structures within the femoral triangle. Exceptionally giant retroperitoneal sarcoma may herniate through the abdo-inguinal ring. All these presentations are frequently misdiagnosed as inguinal or crural hernia, enlarged lymph nodes or testicular malignancies. Given the particular constraints of the inguinal region, in order to achieve adequate margins to increase the chance of locoregional control, surgery usually requires extensive soft tissue and visceral resections often combined with vascular and plastic complex reconstructions. In the very rare cases of lymphatic metastases, radical groin lymph node dissection may be performed, potentially with curative intent. Due to the rarity of the disease and the complexity of the diagnostic and therapeutic process, patients presenting with suspicious of STSs must always adressed to national referral centers.

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Stefano Radaelli
    • 1
  • Chiara Colombo
    • 1
  • Marco Fiore
    • 1
  • Alessandro Gronchi
    • 1
  1. 1.Sarcoma Service, Department of SurgeryFondazione IRCCS Istituto Nazionale dei TumoriMilanItaly

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