Clinical Outcomes of Soft Tissue Sarcoma around the Elbow Joint: A Retrospective Single Institution Study

BACKGROUND: We report a retrospective case series analysis of clinical outcomes of patients with soft tissue sarcoma around the elbow. METHODS: Twenty-two patients underwent surgical tumor excision between January 1999 and May 2017, with a mean follow-up of 85.2 months. RESULTS: Six tumors were loca...

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Detalles Bibliográficos
Autores principales: Azurin, Edelyn S., Yamamoto, Norio, Hayashi, Katsuhiro, Takeuchi, Akihiko, Tada, Kaoru, Miwa, Shinji, Igarashi, Kentaro, Higuchi, Takashi, Yonezawa, Hirotaka, Morinaga, Sei, Asano, Yohei, Saito, Shiro, Tsuchiya, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789912/
https://www.ncbi.nlm.nih.gov/pubmed/36573098
http://dx.doi.org/10.1155/2022/1087726
Descripción
Sumario:BACKGROUND: We report a retrospective case series analysis of clinical outcomes of patients with soft tissue sarcoma around the elbow. METHODS: Twenty-two patients underwent surgical tumor excision between January 1999 and May 2017, with a mean follow-up of 85.2 months. RESULTS: Six tumors were localized in the upper arm, nine in the elbow, and seven in the forearm. Sixteen tumors were deep-seated, and six were superficially located. Fifteen patients underwent wide excision, including one amputation, and 18 achieved (81.8%) negative margins histologically. Two local recurrences and four distant metastases developed. The mean Musculoskeletal Tumor Society score was 92.0% (range, 33.3–100). The 5-year local recurrence-free survival rate, metastasis-free survival rate, and overall survival rate were 90.0%, 77.0%, and 79.7%, respectively. CONCLUSIONS: Local control and limb function can have favorable outcomes when the tumor excised has a histologically negative margin without sacrificing the major structure.

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