Scheidt Sebastian, Jacobs Cornelius, Koob Sebastian, Welle Kristian, Walter Sebastian, Jakob Jens, Kehrer Michael, Schmolders Jan
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
Universitätsmedizin Göttingen, Klinik für Allgemein-, Viszeral- und Kinderchirurgie.
Z Orthop Unfall. 2019 Dec;157(6):644-653. doi: 10.1055/a-0820-6366. Epub 2019 Feb 8.
Soft tissue sarcomas are a heterogeneous group of neoplasias that due to their often clinically silent appearance often remain undetected or experience delayed treatment. Especially soft tissue swelling is often misinterpreted by patients and doctors and trivialized or verified with an incorrect biopsy technique. The hereby evoked complications for the patients are serious and may be reduced by simply following the available guidelines. The treatment of soft tissue sarcomas requires a close interdisciplinary coordination between specialists in tumor orthopedics, oncology, radiology, pathology and radiotherapy. On the basis of a selective literature review, the following article points out the current evidence on the treatment and illustrates a treatment algorithm.
软组织肉瘤是一组异质性肿瘤,由于其临床表现往往不明显,常常未被发现或治疗延迟。尤其是软组织肿胀,患者和医生常常会误解,将其轻视或采用不正确的活检技术进行核实。由此给患者带来的并发症很严重,而只要遵循现有指南就可以减少这些并发症。软组织肉瘤的治疗需要肿瘤骨科、肿瘤学、放射学、病理学和放疗等领域的专家进行密切的跨学科协作。在选择性文献综述的基础上,以下文章指出了当前治疗方面的证据并展示了一种治疗算法。