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Sarcoma excision and pattern of complicating sensory neuropathy
Neil R Wickramasinghe1, Nicholas D Clement2, Ashish Singh2
1University of Edinburgh, General Surgery Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK ; Edinburgh University, 4A Howe Street, Newtown EH36TD, UK.
ISRN Oncology
|August 8, 2014
Summary
Sensory neurological dysfunction is a common complication following sarcoma excision surgery. Minimizing scar length and incorporating sensory reeducation are crucial for managing post-surgical sensory deficits.
Area of Science:
- Surgical Oncology
- Neurology
- Rehabilitation Medicine
Background:
- Sarcoma excision surgery can lead to sensory neurological dysfunction around the surgical scar.
- Assessing this sensory deficit is crucial for patient management and recovery.
Purpose of the Study:
- To evaluate the prevalence and characteristics of sensory deficits after sarcoma excision surgery.
- To correlate objective and subjective sensory deficits with factors like scar size and time since surgery.
Main Methods:
- Utilized objective (e.g., light touch, pinprick, two-point discrimination) and subjective (patient-reported symptoms) sensation assessment modalities.
- Evaluated 22 patients who underwent sarcoma surgery.
Main Results:
- 93% of patients exhibited objective sensory deficits, with two-point discrimination significantly reduced around the scar.
- Larger scar size correlated with increased light touch and pinprick deficits; sensory function improved over time.
- 91% reported subjective deficits (tingling, pain, numbness), with numbness more common in lower limb sarcomas.
Conclusions:
- Sensory disturbance is a common and debilitating complication of sarcoma surgery.
- Minimizing scar length is vital for preventing sensory deficits.
- Sensory reeducation should be integrated into management plans, utilizing both objective and subjective assessments for comprehensive evaluation.
