Soft tissue sarcomas of the chest wall
Tsukushi S et al. - The clinical behavior of the chest wall soft tissue sarcomas is similar to that of extremity sarcomas. High-grade tumors likely require a muscle transfer, and are difficult to control locally. They are best controlled by adequate wide surgical resection. Methods- An evaluation of the clinical outcomes for pts with chest wall soft tissue sarcomas
- 44 surgically treated pts from 1992 to 2006; median age: 51.8 yrs; median follow-up: 56.7 mo
- 22 sarcomas (50.0%) were high-grade, and 22 (50.0%) were low-grade
- Of the 44 pts, 31 (70.1%) had previously undergone unplanned excision elsewhere
- Histologic examinations of the surgical margins, and oncological outcome for each patient were collected and analyzed
Results- 26 (59.1%) pts were continuously free of disease, 12 were alive and currently free of disease, 3 were alive with metastasis, and 3 had died
- Local recurrence developed in 5 pts
- The overall survival rate at 5 yrs was 88.5%
- Local recurrence-free survival rate at 5 yrs was 88.5%
- Univariate analyses: age, high-grade malignancy, and local recurrence were independent predictors of death
- Histopathologic examination: 2 pts had evidence of bone invasion
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