Comparative Study Of Planned And Unplanned Excisions For The Treatment Of Soft Tissue Sarcoma Of The Extremities

dc.creatorHanasilo C.E.H.
dc.creatorCasadei M.S.
dc.creatorAuletta L.
dc.creatorAmstalden E.M.I.
dc.creatorMatte S.R.F.
dc.creatorEtchebehere M.
dc.date2014
dc.date2015-06-25T17:54:28Z
dc.date2015-11-26T14:33:55Z
dc.date2015-06-25T17:54:28Z
dc.date2015-11-26T14:33:55Z
dc.date.accessioned2018-03-28T21:37:18Z
dc.date.available2018-03-28T21:37:18Z
dc.identifier
dc.identifierClinics. Universidade De Sao Paulo, v. 69, n. 9, p. 579 - 584, 2014.
dc.identifier18075932
dc.identifier10.6061/clinics/2014(09)01
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84908060923&partnerID=40&md5=6e3524eff367005eb978140c90392d91
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/86688
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/86688
dc.identifier2-s2.0-84908060923
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1247972
dc.descriptionObjective: Unplanned excision of soft tissue sarcomas is common because benign soft tissue lesions are very frequent. This study evaluated the impact of unplanned resections on overall survival, local recurrence and distant metastasis in patients with soft tissue sarcomas of the extremities.Methods: In total, 52 patients who were diagnosed with soft tissue sarcomas between May 2001 and March 2011 were analyzed in a retrospective study. Of these patients, 29 (55.8%) had not undergone previous treatment and the remaining 23 (44.2%) patients had undergone prior resection of the tumor without oncological planning. All subsequent surgical procedures were performed at the same cancer referral center. The follow-up ranged from 6 to 122 months, with a mean of 39.89 months. Age, lesion size and depth, histological grade, surgical margins, overall survival, local and distant recurrence and adjuvant therapies were compared.Results: Residual disease was observed in 91.3% of the re-resected specimens in the unplanned excision group, which exhibited greater numbers of superficial lesions, low histological grades and contaminated surgical margins compared with the re-resected specimens in the planned excision group. No differences were observed in local recurrence and 5-year overall survival between the groups, but distant metastases were significantly associated with planned excision after adjustment for the variables.Conclusions: There was no difference between patients undergoing unplanned excision and planned excision regarding local recurrence and overall survival. The planned excision group had a higher risk of distant metastasis, whereas there was a high rate of residual cancer in the unplanned excision group.
dc.description69
dc.description9
dc.description579
dc.description584
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dc.languageen
dc.publisherUniversidade de Sao Paulo
dc.relationClinics
dc.rightsaberto
dc.sourceScopus
dc.titleComparative Study Of Planned And Unplanned Excisions For The Treatment Of Soft Tissue Sarcoma Of The Extremities
dc.typeArtículos de revistas


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