SURGICAL MANAGEMENT OF SOFT TISSUE SARCOMAS OF HOSPITAL SANTA RITA

Background: Sarcomas are a heterogeneous group of rare tumors that arise predominantly from the embryonic mesoderm. The main treatment of this pathology is surgical, complemented with radiotherapy and chemotherapy in selected cases. Objetives: Describe the clinical, pathological characteristics and survival of surgical patients intervened with soft tissue sarcoma Methodology: Historic cohort study from May 2000 to December 2018 of the patients who were submitted to surgical treatment for soft tissue sarcoma. Results: This series has 254 patients (145 women) with an average age of 51,58 years. Our service performed 179 surgeries for primary lesions patients, 53 procedures for recidive lesions patients and 14 for metastasis lesions patients. The most common localisation is the limbs (50,4%), followed by the trunk (34,3%) and retroperitoneum (11,8%). We performed 71 radical surgeries, with 57 amputations, 11 hemipelvectomies and 3 pelvic exenterations. The histopathological type most common is liposarcoma (18,9%) followed by malignant fibrous histiocytoma (17,3%), and leiomiosarcoma (11,4%). This series has 75 cases in Stage I, 33 cases in Stage II, 128 cases in Stage III and 18 in Stage IV, with 5-year survival of 95%, 90%, 70% and 38%, respectively. Conclusions: Our epidemiological and survival results are similar to the literature. The overall survival of this series is influenced by the high incidence of advanced tumours (Stage III).

 

MissingLinkText

No conflict of interest has been declared by the author(s).

Publication History

Article published online:
23 October 2019