Thacker Mihir M
Department of Orthopedic Surgery, Nemours - Alfred I duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA.
Orthop Clin North Am. 2013 Oct;44(4):657-67. doi: 10.1016/j.ocl.2013.07.002.
Soft tissue masses are frequently seen in children. Although most are benign or reactive, soft tissue sarcomas (STS)-both rhabdomyosarcoma (most common) and non-rhabdo STS, do occur in the extremities. Appropriate evaluation of extremity soft tissue tumors often includes a biopsy as the clinical and imaging features may not be enough to establish a definitive diagnosis. Much needs to be done for improving the treatment of these rare but often devastating sarcomas. Given the small numbers of these cases seen at various centers, collaborative efforts should be made to further our understanding and improve the management of these challenging cases.
软组织肿块在儿童中很常见。虽然大多数是良性或反应性的，但软组织肉瘤（STS）——横纹肌肉瘤（最常见）和非横纹肌肉瘤性STS，确实会出现在四肢。对四肢软组织肿瘤进行恰当评估通常需要进行活检，因为临床和影像学特征可能不足以确立明确诊断。在改善这些罕见但往往具有毁灭性的肉瘤的治疗方面，仍有许多工作要做。鉴于各中心所见的此类病例数量较少，应开展合作努力，以增进我们的了解并改善对这些具有挑战性病例的管理。
