Surgical Management of Soft Tissue Sarcoma

  • Muhammad Mukhtar Khan Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad
  • S H Waqar 1, Raja Amjad Mahmood Background: To study the management pattern of soft tissue sarcomas in a tertiary care setting Methods: In this descriptive study patients who were operated for soft tissue masses were included. Intra-operative findings, procedure details and postoperative orders were recorded. Postoperative chemo-radiotherapy records were reviewed and recorded. Depth of the tumour was grouped as deeper or superficial than 5 cm. The follow up records were accessed from the outpatient department and any surgical complications were recorded up to three years.Staging was done using clinical and radiological criteria taking into account the histological grade,tumour size , depth, local lymph node invasion and metastasis.Surgical procedure for removal of STS are wide local excision (WLE), intralesional excision (IE) or tumor debulking, marginal excision (ME) and radical excision (RE). Results: Sixty eight patients with mean age of 43.0 ± 17.258 SD were diagnosed as cases of soft tissue sarcomas. Male to female ratio was 3.25:1.The most common histopathological variety was malignant fibrous histiocytoma (35.3%) , followed by Rhabdomyosarcoma(30%). Most common involved site was lower limbs (35.3%).Wide local excision was performed in majority (82.4%) . Most common postop complication was wound infection (10.3%) Conclusion: Clinicians must be agile about the nature of these tumours and their referral to a specialist surgeon for further management. Prompt diagnosis, accurate investigations and early intervention will benefit the patients and help us understand this disease entity.
  • M A Zahid Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad
Keywords: Soft tissue sarcoma, Surgical oncology, Multidisciplinary management

Abstract

Background: To study the management pattern
of soft tissue sarcomas in a tertiary care setting
Methods: In this descriptive study patients who
were operated for soft tissue masses were included.
Intra-operative findings, procedure details and
postoperative orders were recorded. Postoperative
chemo-radiotherapy records were reviewed and
recorded. Depth of the tumour was grouped as
deeper or superficial than 5 cm. The follow up
records were accessed from the outpatient
department and any surgical complications were
recorded up to three years.Staging was done using
clinical and radiological criteria taking into account
the histological grade,tumour size , depth, local
lymph node invasion and metastasis.Surgical
procedure for removal of STS are wide local excision
(WLE), intralesional excision (IE) or tumor
debulking, marginal excision (ME) and radical
excision (RE).
Results: Sixty eight patients with mean age of 43.0
± 17.258 SD were diagnosed as cases of soft tissue
sarcomas. Male to female ratio was 3.25:1.The most
common histopathological variety was malignant
fibrous histiocytoma (35.3%) , followed by
Rhabdomyosarcoma(30%). Most common involved
site was lower limbs (35.3%).Wide local excision was
performed in majority (82.4%) . Most common
postop complication was wound infection (10.3%)
Conclusion: Clinicians must be agile about the
nature of these tumours and their referral to a
specialist surgeon for further management. Prompt
diagnosis, accurate investigations and early
intervention will benefit the patients and help us
understand this disease entity.

Published
2018-03-30
How to Cite
Khan, M. M., MahmoodS. H. W. 1. R. A., & Zahid, M. A. (2018). Surgical Management of Soft Tissue Sarcoma. Journal of Rawalpindi Medical College, 58-62. Retrieved from http://www.journalrmc.com/index.php/JRMC/article/view/849