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[Plastic surgical management in lower extremity sarcoma reconstruction].
T Schloßhauer1, I M Mehling1, W Moll1
1Abteilung für Plastische, Hand- und Rekonstruktive Chirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|April 22, 2015
Summary
Malignant soft-tissue sarcomas larger than 5 cm require radical surgical resection for cure. Advanced reconstructive surgery preserves limb function after tumor removal, emphasizing interdisciplinary collaboration in specialized centers.
Area of Science:
- Orthopedic Oncology
- Surgical Oncology
- Plastic and Reconstructive Surgery
Context:
- Lower extremity tumors >5 cm warrant evaluation for soft-tissue sarcomas.
- Radical oncological resection is the primary curative treatment for soft-tissue sarcomas.
Purpose:
- To review functional reconstruction options following radical oncological resection of soft-tissue sarcomas.
- To highlight the importance of plastic-reconstructive surgery in limb preservation.
Summary:
- Radical resection with wide margins is crucial for soft-tissue sarcoma cure, not replaced by neoadjuvant/adjuvant therapies.
- Modern techniques enable >95% radical excision and complex reconstructions using tissue transplantation.
- Interdisciplinary cooperation and specialized centers are vital for optimal patient outcomes.
Impact:
- Preserves extremity function and quality of life after sarcoma resection.
- Establishes reconstructive surgery as a key component of multimodal sarcoma treatment.
- Guides complex case management in specialized oncological centers.
