TY - JOUR AU - Muhammad Mukhtar Khan, S H Waqar, Raja Amjad Mahmood, M A Zahid , PY - 2018/03/30 Y2 - 2024/03/28 TI - Surgical Management of Soft Tissue Sarcoma JF - Journal of Rawalpindi Medical College JA - JRMC VL - 22 IS - 1 SE - Articles DO - UR - http://www.journalrmc.com/index.php/JRMC/article/view/849 SP - AB - <p>Background: To study the management pattern<br>of soft tissue sarcomas in a tertiary care setting<br>Methods: In this descriptive study patients who<br>were operated for soft tissue masses were included.<br>Intra-operative findings, procedure details and<br>postoperative orders were recorded. Postoperative<br>chemo-radiotherapy records were reviewed and<br>recorded. Depth of the tumour was grouped as<br>deeper or superficial than 5 cm. The follow up<br>records were accessed from the outpatient<br>department and any surgical complications were<br>recorded up to three years.Staging was done using<br>clinical and radiological criteria taking into account<br>the histological grade,tumour size , depth, local<br>lymph node invasion and metastasis.Surgical<br>procedure for removal of STS are wide local excision<br>(WLE), intralesional excision (IE) or tumor<br>debulking, marginal excision (ME) and radical<br>excision (RE).<br>Results: Sixty eight patients with mean age of 43.0<br>± 17.258 SD were diagnosed as cases of soft tissue<br>sarcomas. Male to female ratio was 3.25:1.The most<br>common histopathological variety was malignant<br>fibrous histiocytoma (35.3%) , followed by<br>Rhabdomyosarcoma(30%). Most common involved<br>site was lower limbs (35.3%).Wide local excision was<br>performed in majority (82.4%) . Most common<br>postop complication was wound infection (10.3%)<br>Conclusion: Clinicians must be agile about the<br>nature of these tumours and their referral to a<br>specialist surgeon for further management. Prompt<br>diagnosis, accurate investigations and early<br>intervention will benefit the patients and help us<br>understand this disease entity.</p> ER -