Official publication of Rawalpindi Medical University
Surgical Management of Soft Tissue Sarcoma
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How to Cite

1.
Muhammad Mukhtar Khan, S H Waqar, Raja Amjad Mahmood, M A Zahid. Surgical Management of Soft Tissue Sarcoma. JRMC [Internet]. 2018 Mar. 30 [cited 2024 Mar. 28];22(1). Available from: http://journalrmc.com/index.php/JRMC/article/view/849

Abstract

Background: To study the management pattern
of soft tissue sarcomas in a tertiary care setting
Methods: In this descriptive study patients who
were operated for soft tissue masses were included.
Intra-operative findings, procedure details and
postoperative orders were recorded. Postoperative
chemo-radiotherapy records were reviewed and
recorded. Depth of the tumour was grouped as
deeper or superficial than 5 cm. The follow up
records were accessed from the outpatient
department and any surgical complications were
recorded up to three years.Staging was done using
clinical and radiological criteria taking into account
the histological grade,tumour size , depth, local
lymph node invasion and metastasis.Surgical
procedure for removal of STS are wide local excision
(WLE), intralesional excision (IE) or tumor
debulking, marginal excision (ME) and radical
excision (RE).
Results: Sixty eight patients with mean age of 43.0
± 17.258 SD were diagnosed as cases of soft tissue
sarcomas. Male to female ratio was 3.25:1.The most
common histopathological variety was malignant
fibrous histiocytoma (35.3%) , followed by
Rhabdomyosarcoma(30%). Most common involved
site was lower limbs (35.3%).Wide local excision was
performed in majority (82.4%) . Most common
postop complication was wound infection (10.3%)
Conclusion: Clinicians must be agile about the
nature of these tumours and their referral to a
specialist surgeon for further management. Prompt
diagnosis, accurate investigations and early
intervention will benefit the patients and help us
understand this disease entity.

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