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Soft tissue sarcoma of the trunk and extremities
E Tukiainen1, T Böhling, R Huuhtanen
1Department of Plastic Surgery, Helsinki University Hospital, Helsinki, Finland. erkki.tukiainen@hus.fi
Summary
A multidisciplinary approach combining advanced diagnostics and treatments like limb-sparing surgery and radiotherapy improves outcomes for soft tissue sarcomas. This strategy enhances patient quality of life by preserving function and aesthetics.
Area of Science:
- Oncology
- Surgical Oncology
- Radiotherapy
Background:
- Soft tissue sarcomas require complex management strategies.
- Advancements in diagnostic and therapeutic techniques are crucial.
Purpose of the Study:
- To outline the evolution of soft tissue sarcoma treatment.
- To emphasize the importance of a multidisciplinary approach.
Main Methods:
- Integration of modern radiology, pathology, and cytogenetics.
- Application of specialized tumor surgery and tissue transfer.
- Combination of radiotherapy and chemotherapy for systemic treatment.
Main Results:
- Limb-sparing surgery with radiotherapy reduces amputation rates and local recurrence.
- Reconstructive surgery enables radical tumor resection with adequate margins.
- Improved function, aesthetics, and palliation enhance patient quality of life.
Conclusions:
- A multidisciplinary team approach is essential for optimal soft tissue sarcoma management.
- Early recognition and referral to specialized centers improve patient outcomes.
- Modern surgical and adjuvant therapies significantly improve functional and oncological results.