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Chirurgie des sarcomes des tissus mous des membres et de la paroi du tronc

Surgery for soft tissue sarcoma in the extremities and trunk wall

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Oncologie

Résumé

En 20 ans, le taux de contrôle local des sarcomes des tissus mous est passé d’environ 70 à 80 %, grâce entre autres aux progrès de la chirurgie. En dehors des centres spécialisés, la prise en charge des sarcomes reste encore insuffisante, en particulier au moment initial. Ce papier détaille les pièges à éviter au moment du diagnostic, comment procéder à la biopsie. La chirurgie d’exérèse est une chirurgie réglée, dont la place doit être discutée dans un cadre de prise en charge pluridisciplinaire. Une exérèse intempestive peut compromettre les chances de guérison. Elle est évaluée selon le système de la maladie résiduelle (R), qui aide à mieux adapter le traitement complémentaire.

Abstract

Surgical advances over the last twenty years have increased the rate of local control of soft tissue sarcoma from 70 to 80 %. However, the management of soft tissue sarcoma, especially initial treatment, remains inadequate outside specialized treatment centres. This paper discusses how to minimize diagnostic errors and perform biopsies. Soft tissue sarcoma surgery requires careful planning and must be integrated into a multidisciplinary therapeutic approach. A “whoops” excision can compromise a patient’s prognosis. The quality of surgery is best evaluated by the UICC residual disease (R) system, which helps to adapt complementary treatments.

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Authors and Affiliations

  1. centre régional de lutte contre le cancer, Institut Bergonié, 229, cours de l’Argonne, F-33076, Bordeaux cedex, France

    E. Stöckle, J. -M. Coindre, L. Thomas, M. Bui, G. Kantor, M. Kind & B. -N. Bui

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  1. E. Stöckle
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  2. J. -M. Coindre
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  3. L. Thomas
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  4. M. Bui
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  5. G. Kantor
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  6. M. Kind
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  7. B. -N. Bui
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Correspondence to E. Stöckle.

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Stöckle, E., Coindre, J.M., Thomas, L. et al. Chirurgie des sarcomes des tissus mous des membres et de la paroi du tronc. Oncologie 9, 107–113 (2007). https://doi.org/10.1007/s10269-006-0556-2

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  • DOI: https://doi.org/10.1007/s10269-006-0556-2

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