SARCOMA MANAGEMENT BASED ON A STANDARDIZED TNM CLASSIFICATION

被引:5
作者
ARLEN, M [1 ]
MARCOVE, R [1 ]
机构
[1] N SHORE UNIV HOSP,CORNELL MED CTR,DEPT SURG,MANHASSET,NY 11030
来源
SEMINARS IN SURGICAL ONCOLOGY | 1992年 / 8卷 / 02期
关键词
LIMB SPARING; HISTOLOGY; SURGERY; IRRADIATION; CAT; MRI; ANGIOGRAPHY;
D O I
10.1002/ssu.2980080210
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The proper management of soft tissue sarcomas, that offering the highest cure rate while attempting limb sparing should the extremities be involved, requires a standard approach best achieved with the TNM classification. Such staging of the sarcomatous lesion is based primarily on the histologic grade, followed by size and finally histologic classification. The definitive approach is surgical, with muscle group dissection employed at all sites, including the extremities, trunk, and head and neck region. Radiation therapy alone or in combination with chemotherapy improves survival in all high-grade lesions at risk for recurrence. Evaluation of the primary and recurrent lesion by computed tomography, magnetic resonance when necessary, and angiography offers the best approach for evaluation of the lesion in treatment planning.
引用
收藏
页码:98 / 103
页数:6
相关论文
共 14 条
[1]  
Arlen M, Marcove R, Surgical Management of Soft Tissue Sarcomas, (1987)
[2]  
Enziaer FM, Weiss SW, Soft Tissue Tumors, (1988)
[3]  
Coindre JM, Trojani M, Contesso G, Et al., Reproducibility of a histopathologic grading system for adult soft tissue sarcoma, Cancer, 58, pp. 306-309, (1986)
[4]  
Bowden L, Booher RJ, The principles and techniques of resection of soft parts for sarcomas, Surgery, 44, pp. 963-977, (1958)
[5]  
Morton DL, Eilber FR, Townsend CM, Et al., Limb salvage from a multidisciplinary treatment approach for skeletal and soft tissue sarcomas of the extremity, Ann Surg, 184, pp. 268-278, (1976)
[6]  
Rosenberg SA, Kent H, Costa J, Prospective randomized evaluation of the role of limb sparing surgery, radiation therapy and adjuvant chemo‐immunotherapy in the treatment of adult soft tissue sarcomas, Surgery, 84, pp. 62-69, (1978)
[7]  
Sordillo DD, Hadju SI, Magill GB, Golby RB, Extra‐osseous osteogenic sarcoma: A review of 48 patients, Cancer, 51, pp. 727-734, (1983)
[8]  
Shiu MH, Castro EB, Hadju SI, Et al., Surgical treatment of 247 soft tissue sarcomas of the lower extremity, Ann Surg, 182, pp. 597-602, (1975)
[9]  
Russel WO, Cohen J, Enzinger F, Et al., A clinical and pathologic staging system for soft tissue sarcomas, Cancer, 40, pp. 1562-1570, (1977)
[10]  
Kearney MM, Soule EH, Ivins JC, Malignant fibrous histiocytoma: A retrospective study of 167 cases, Cancer, 45, pp. 167-178, (1980)