Division of Surgical Oncology, Department of Surgery, Emory University, Atlanta, Georgia.
Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
CA Cancer J Clin. 2020 May;70(3):200-229. doi: 10.3322/caac.21605. Epub 2020 Apr 10.
Soft-tissue sarcomas (STS) are rare tumors that account for 1% of all adult malignancies, with over 100 different histologic subtypes occurring predominately in the trunk, extremity, and retroperitoneum. This low incidence is further complicated by their variable presentation, behavior, and long-term outcomes, which emphasize the importance of centralized care in specialized centers with a multidisciplinary team approach. In the last decade, there has been an effort to improve the quality of care for patients with STS based on anatomic site and histology, and multiple ongoing clinical trials are focusing on tailoring therapy to histologic subtype. This report summarizes the latest evidence guiding the histiotype-specific management of extremity/truncal and retroperitoneal STS with regard to surgery, radiation, and chemotherapy.
软组织肉瘤(STS)是一种罕见的肿瘤,占所有成人恶性肿瘤的 1%,有超过 100 种不同的组织学亚型,主要发生在躯干、四肢和腹膜后。这种低发病率进一步因它们的不同表现、行为和长期结果而变得复杂,这强调了在具有多学科团队方法的专业中心集中治疗的重要性。在过去十年中,已经基于解剖部位和组织学努力提高 STS 患者的治疗质量,并且正在进行多项临床试验,专注于根据组织学亚型调整治疗。本报告总结了指导四肢/躯干和腹膜后 STS 的组织学亚型特异性管理的最新证据,涉及手术、放疗和化疗。