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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Unplanned excisions of soft tissue sarcomas of the upper extremity

Meeting Abstract

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  • presenting/speaker Vasileios Kontogeorgakos - Attikon University Hospital, Xaidari, Athens, Greece
  • Ioannis Antoniou - University Hospital of Thessaly, Larissa, Greece
  • Sokratis Varitimidis - University Hospital of Thessaly, Larissa, Greece
  • Dionysios Papachristou - Anatomy Pathology Lab, University of Patras, Patra, Greece
  • Marianna Vlychou - University Hospital of Thessaly, Larissa, Greece
  • Zoe Dailiana - University Hospital of Thessaly, Larissa, Greece
  • Konstantinos Malizos - University Hospital of Thessaly, Larissa, Greece

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1184

doi: 10.3205/19ifssh0313, urn:nbn:de:0183-19ifssh03135

Veröffentlicht: 6. Februar 2020

© 2020 Kontogeorgakos et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Unplanned excisions of soft tissue sarcomas is a surgical challenge and overall treatment should be individualized. The aim of the study is to investigate the outcome of repeated surgical treatment of these patients.

Methods: A retrospective study of 18 patients with non-metastatic upper extremity STS referred for further treatment after unplanned excision. Patients with STS at the fingers were excluded. All patients had initial tumor resection in pieces or histologically microscopic or gross positive resection margins. Tumor resection under local anesthesia was performed in 8/18, while no pre-op imaging was performed in 6/18 of the patients. In 6 patients, a palpable mass was present for 3 to 4 years before resection.

Results and Conclusions: An amputation was performed in 3 patients, while 15 patients underwent re-excision of the surgical field. Negative margins were obtained in 16/18 patients. Flap reconstruction of skin graft was used in 6 patients. Adjuvant radiation therapy were offered in 11/15 of the patients within 5-8 weeks after re-excision. No chemotherapy was administered. Local recurrence and metastatic disease occurred in 1 and 3 patients respectively. Follow-up ranged from 12 to 50 months.

A long standing mass does not preclude malignancy. The combination of surgical bed re-excision combined with local radiation therapy offers a low local recurrence rate. Extensive neurovascular and tendon infiltration by the tumor will result in amputation.