Surgical Management of Extremity Soft Tissue Sarcomas

The surgical management of soft tissue sarcomas involves a complex multidisciplinary approach. Prior to any definitive procedure, a thorough assessment, including history, physical examination, staging studies, and appropriate biopsy technique, along with extensive preoperative planning, should be performed to ensure an accurate diagnosis and appropriate treatment. Adjuvant therapy has made limb salvage surgery possible. The techniques outlined here are demanding and should be carried out by experienced surgeons. The use of amputation and the incidence of local recurrence after limb salvage have declined, while survival and quality of life have improved. The importance of staging studies, appropriate biopsy technique, and preoperative planning are vital in maintaining the current level of success.