Surgical outcome of soft tissue sarcomas of the adductor compartment.
OBJECTIVE
To review outcomes and complications of 25 consecutive patients with soft tissue sarcomas in the adductor compartment.


METHODS
Records of 11 men and 14 women aged 20 to 83 (mean, 56) years who underwent resection for soft tissue sarcomas in the adductor compartment were reviewed. Two of the patients had undergone inadequate resection of the tumour elsewhere. No patient had metastases. 20 and 2 patients underwent neo-adjuvant and postoperative radiotherapy, respectively. The interval between radiotherapy and surgery was at least 3 weeks. No neo-adjuvant chemotherapy was given. 24 patients underwent limb salvage surgery and one had external hemipelvectomy. 21 patients had direct wound closure; in 4 a microsurgical free flap was used.


RESULTS
The overall survival rate was 81% and 72% at 3 and 5 years, respectively, and remained unchanged until the end of follow-up. Four patients died from pulmonary metastases and one died from liver metastases. One patient had local recurrence, and 7 (26%) developed major complications. Five patients underwent revision surgery.


CONCLUSIONS
Good survival and local control rates can be achieved in patients with soft tissue sarcomas in the adductor compartment using limb salvage and radiotherapy.
Rudiger
Hannes A
HA
Department of Orthpaedics, St Vincent's Hospital, Melbourne, Australia. hannes.ruediger@gmx.ch
Ngan
Samuel Y K
SY
Choong
Peter F M
PF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications; D012086:Reoperation; D012509:Sarcoma / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D013524:Surgical Flaps; D015996:Survival Rate; D013848:Thigh; D016896:Treatment Outcome