Shibata H R
Department of Surgery, Royal Victoria Hospital, McGill University, Montreal, PQ.
Can J Surg. 1988 Nov;31(6):407-9.
The surgical management of soft-tissue sarcomas, a seemingly heterogeneous group of malignant tumours, depends on the circumstances (e.g., untreated primary tumour, inadequately resected primary tumour, local recurrence, metastasis) and site. The basic steps in managing a primary tumour include using the correct method to establish a diagnosis, obtaining adequate tumour-free resection margins and giving consideration to adjuvant radiotherapy or chemotherapy, or both. Local recurrences and metastatic lesions require a multidisciplinary approach. The relative rarity of this group of sarcomas and the low survival rate associated with them make it mandatory that such patients be treated in centres able to provide specialized care from the beginning.
软组织肉瘤是一类看似异质性的恶性肿瘤，其外科治疗取决于具体情况（如未经治疗的原发肿瘤、原发肿瘤切除不充分、局部复发、转移）和肿瘤部位。处理原发肿瘤的基本步骤包括采用正确方法进行诊断、获得足够的无瘤切缘，并考虑辅助放疗或化疗，或两者兼用。局部复发和转移病灶需要多学科方法处理。这类肉瘤相对罕见，且与之相关的生存率较低，因此这类患者必须从一开始就在能够提供专科护理的中心接受治疗。
