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Year:
2003
| Volume: 11
| Issue: 1
| Pages: 9-11
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Original Article |
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THE PROBLEM OF LOCAL RECURRENCE AND METASTASIS IN SOFT-TISSUE SARCOMA
Aleksandar KIRALJ, Zlata JANJIC, Mladen JOVANOVIC, Nada VUCKOVIC |
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DOI:
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Abstract: |
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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. |
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Key words:
Sarcoma; Neoplasm Recurrence, Local; Neoplasm Metastasis; Surgery |
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