Anterior compartment resection of the thigh in soft-tissue sarcomas
Identifieur interne : 004705 ( Istex/Curation ); précédent : 004704; suivant : 004706Anterior compartment resection of the thigh in soft-tissue sarcomas
Auteurs : C. P. Karakousis [États-Unis] ; K. Kontzoglou [États-Unis] ; D. L. Driscoll [États-Unis]Source :
- European Journal of Surgical Oncology [ 0748-7983 ] ; 1998.
English descriptors
Abstract
AimsSoft-tissue sarcomas of the anterior thigh present technical problems due to the proximity of the femoral vessels, and the disability caused by a standard anterior compartment resection.MethodsWe treated 44 consecutive patients with primary sarcomas in the anterior thigh with wide resection (n = 15), and modified (n=26) or standard (n = 3) compartment resection. No patient had amputation as primary treatment.ResultsThe overall rate of local recurrence was 6/44 (14%). Local recurrence was observed in 1/3 patients with standard anterior compartment resection and 5/41 (12%) of those with wide excision or modified compartment resection. It was noted in 1/6 (17%) patients with adjuvant radiation and 5/38 (13%) of those treated with surgery alone. One of six patients with local recurrence required amputation. The 5-year survival rate was 66% varying significantly according to grade.ConclusionsLimb preservation was possible in 98% of patients. Wide resection or modified compartment resection was feasible in the majority (93%) of patients resulting in improved function.
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DOI: 10.1016/S0748-7983(98)80012-7
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<affiliation><mods:affiliation>Correspondence to: C. P. Karakousis, M.D., Ph.D., Department of Surgery, Millard Fillmore Hospital, 3 Gates Circle, Buffalo, New York 14209, U.S.A. Fax: 716 887/4220.</mods:affiliation>
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<front><div type="abstract" xml:lang="en">AimsSoft-tissue sarcomas of the anterior thigh present technical problems due to the proximity of the femoral vessels, and the disability caused by a standard anterior compartment resection.MethodsWe treated 44 consecutive patients with primary sarcomas in the anterior thigh with wide resection (n = 15), and modified (n=26) or standard (n = 3) compartment resection. No patient had amputation as primary treatment.ResultsThe overall rate of local recurrence was 6/44 (14%). Local recurrence was observed in 1/3 patients with standard anterior compartment resection and 5/41 (12%) of those with wide excision or modified compartment resection. It was noted in 1/6 (17%) patients with adjuvant radiation and 5/38 (13%) of those treated with surgery alone. One of six patients with local recurrence required amputation. The 5-year survival rate was 66% varying significantly according to grade.ConclusionsLimb preservation was possible in 98% of patients. Wide resection or modified compartment resection was feasible in the majority (93%) of patients resulting in improved function.</div>
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