Jakob J, Schmolders J
Klinik für Allgemein‑, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Uniklinik Bonn, Bonn, Deutschland.
Chirurg. 2019 Jun;90(6):441-446. doi: 10.1007/s00104-019-0921-5.
Soft tissue sarcomas of the extremities are rarely malignant tumors. They are best treated by an experienced interdisciplinary sarcoma team. A preoperative biopsy and imaging are prerequisites for successful sarcoma treatment. Before surgery the multimodal treatment and the extent of resection and, if necessary, plastic reconstruction should be discussed in a multidisciplinary tumor board. The aim is always a complete R0 resection with optimal preservation of function. The preservation of critical structures (e. g. sciatic nerve) by a planned focal marginal resection along the critical structure can be performed by an experienced team in a multidisciplinary treatment setting.
四肢软组织肉瘤是罕见的恶性肿瘤。最好由经验丰富的跨学科肉瘤团队进行治疗。术前活检和影像学检查是肉瘤治疗成功的先决条件。手术前,应在多学科肿瘤委员会中讨论多模式治疗、切除范围以及必要时的整形重建。目标始终是实现R0完全切除并最大程度地保留功能。经验丰富的团队可在多学科治疗环境中通过沿关键结构进行有计划的局部边缘切除来保留关键结构(如坐骨神经)。