Management and outcome of extremity soft tissue sarcomas.
OBJECTIVE
To analyze the results of various treatment modalities applied to soft tissue sarcomas of the extremity.


METHODS
An analytical study.


METHODS
Combined Military Hospital, Rawalpindi during the period January 1994 - January 1996.


METHODS
Data was collected from 32 patients. It included age, gender, presentation, diagnostic work-up, treatment instituted followed by evaluation of management. All patients were followed up for 24 months.


RESULTS
Seventeen (53%) were males and 15 (46%) were females. Mean age of presentation for males was 50 years and for females 40 years. Most common presentation was a lump on proximal part of the limbs. Surgery was the primary treatment modality in 20 (62.5%) patients followed by adjuvant radio-chemotherapy, whereas in 12 (37.5%) only radiotherapy was employed to local site. In this latter group, 6 (18.75%) were subjected to chemotherapy as well, due to metastatic disease.


CONCLUSIONS
The management of soft tissue sarcomas of the extremity carried out in our set up was not satisfactory leading to increased incidence of local recurrence and mortality. Appropriate management requires updated knowledge and its application by health professionals. Preferably these tumours should be managed by a dedicated multi-disciplinary team.
Surgical Unit IV, Combined Military Hospital, Rawalpindi. syedfrazanwar@yahoo.com
Syed Faraz
SF
Anwar
Eitezaz Ahmed
EA
Bashir
D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005121:Extremities; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012509:Sarcoma / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome