Founded in 1993
  Year: 2003 | Volume: 11 | Issue: 1 | Pages: 9-11
  Original Article
  THE PROBLEM OF LOCAL RECURRENCE AND METASTASIS IN SOFT-TISSUE SARCOMA
Aleksandar KIRALJ, Zlata JANJIC, Mladen JOVANOVIC, Nada VUCKOVIC
  DOI:
  Abstract:
  Background: The purpose of this study was to evaluate local recurrence of soft-tissue sarcomas as a prognostic factor reflecting adequate or inadequate excision.
Methods: We reviewed the cases of 53 patients who had soft-tissue sarcomas and were treated between 1991 and 2001. All patients were treated operatively, but 11 of them (20.75%), before being sent to us, were operated elsewhere with inadequate surgical margins. The oncology status, including local recurrence and metastasis was determined at the follow-up evaluation.
Results: All of 11 patients treated with inadequate excision had palpably or histologically determined local recurrence. The most common histological diagnosis of local recurrence was dermatofibroma protuberans (7 patients, 63.63%). In patients who were treated with planned and adequate excision there were 4 (9.52%) recurrences. Five patients (45.45%) had metastases in the group of inadequate and only one patient (1.88%) in the group of adequate surgical margins.
Conclusion: Our study demonstrated that excellent rates of survival and low rates of local recurrence and distant metastasis of soft-tissue sarcomas could be obtained with the use of carefully planned radical resection. The quality of operation is the most important factor.
  Key words: Sarcoma; Neoplasm Recurrence, Local; Neoplasm Metastasis; Surgery
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Founder, owner and publisher: Oncology Institute of Vojvodina, Serbia
Online since 1997 (Abstracts only); 2000 (Abstracts and Full text)
ISSN: 0354-7310 eISSN: 1450-9520