Anterior compartment resection of the thigh in soft-tissue sarcomas
Identifieur interne : 00B602 ( Main/Exploration ); précédent : 00B601; suivant : 00B603Anterior 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.
Url:
DOI: 10.1016/S0748-7983(98)80012-7
Affiliations:
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P." last="Karakousis">C. P. Karakousis</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>State University of New York at Buffalo</wicri:regionArea></affiliation><affiliation></affiliation></author><author><name sortKey="Kontzoglou, K" sort="Kontzoglou, K" uniqKey="Kontzoglou K" first="K." last="Kontzoglou">K. Kontzoglou</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Roswell Park Cancer Institute, Buffalo, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Driscoll, D L" sort="Driscoll, D L" uniqKey="Driscoll D" first="D. L." last="Driscoll">D. L. Driscoll</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Roswell Park Cancer Institute, Buffalo, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Surgical Oncology</title><title level="j" type="abbrev">YEJSO</title><idno type="ISSN">0748-7983</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1998">1998</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="308">308</biblScope><biblScope unit="page" to="312">312</biblScope></imprint><idno type="ISSN">0748-7983</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0748-7983</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>anterior thigh</term><term>modified compartment resection</term><term>sarcoma</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Karakousis, C P" sort="Karakousis, C P" uniqKey="Karakousis C" first="C. P." last="Karakousis">C. P. 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