Honoré C, Méeus P, Stoeckle E, Bonvalot S
Département de chirurgie générale, Gustave Roussy Cancer Center, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
Département de chirurgie, centre Léon-Bérard, 69008 Lyon, France.
J Visc Surg. 2015 Sep;152(4):223-30. doi: 10.1016/j.jviscsurg.2015.05.001. Epub 2015 Jun 15.
Four thousand new cases of soft tissue sarcomas are diagnosed each year in France, 23% of which are localized in the abdomen and pelvis; the treatment of non-metastatic tumor is based on wide surgical resection, the quality of which determines the long-term outcome. To ensure appropriate care, the European Society of Medical Oncology (ESMO) recommends that any patient with an unexplained soft tissue mass (of any size for deep lesions or of>5cm for superficial lesions) be referred to a specialized center with capacities for multidisciplinary team decision; appropriate imaging should be performed prior to treatment and a percutaneous image-guided needle biopsy should be routinely performed. In France, clinical and pathology networks (NetSarc and RRePS) currently offer patients a structured means to make a systematic diagnosis of soft tissue sarcoma and help to provide access to appropriate treatment in a specialized center.
法国每年有4000例软组织肉瘤新发病例，其中23%位于腹部和骨盆；非转移性肿瘤的治疗基于广泛的手术切除，其质量决定长期预后。为确保获得适当的治疗，欧洲医学肿瘤学会（ESMO）建议，任何有不明原因软组织肿块（深部病变不论大小，浅表病变>5cm）的患者应转诊至具备多学科团队决策能力的专业中心；治疗前应进行适当的影像学检查，并常规进行经皮影像引导下针吸活检。在法国，临床和病理网络（NetSarc和RRePS）目前为患者提供了一种系统诊断软组织肉瘤的结构化方法，并有助于患者在专业中心获得适当的治疗。
