[Does the metastatic behavior of sarcomas of the hand justify function-maintaining intervention?].
The dangers are emphasised of conservative surgery for soft-tissue malignancy of the hand, based on three cases. In the first, a fibrosarcoma which had developed in a longstanding fistula was treated by partial amputation, lymph node dissection and radiotherapy. Two recurrences arose locally at a later juncture. In the second case, a bone cyst diagnosed a "proliferative synovioma" was resected locally, only to recur on two further occasions being finally characterised as a spindle-cell sarcoma. In the third case, autopsy revealed metastatic Ewing's sarcoma in a patient initially treated by local resection of a "mesenchymal blastoma".
D000293:Adolescent; D000671:Amputation, Surgical; D001845:Bone Cysts / Q000601:surgery; D001859:Bone Neoplasms / Q000556:secondary / Q000601:surgery*; D005354:Fibrosarcoma / Q000601:surgery; D006225:Hand / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D012509:Sarcoma / Q000601:surgery; D012512:Sarcoma, Ewing / Q000601:surgery; D013584:Sarcoma, Synovial / Q000556:secondary / Q000601:surgery*
Rechtferigt das Metastasierungsverhalten von Sarkomen an der Hand den funktionserhaltenden Eingriff?