Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1484, Houston, TX 77030, USA.
Surg Clin North Am. 2020 Jun;100(3):669-680. doi: 10.1016/j.suc.2020.02.015. Epub 2020 Apr 13.
Although the vast majority of soft tissue extremity masses are benign, approximately 13,000 people in the United States were diagnosed with soft tissue sarcoma in 2019. This article focuses on the optimal workup of soft tissue masses including the indications for ultrasound and MRI, as well as use of preoperative core needle biopsy. Current AJCC staging, surgical principles of soft tissue sarcoma management, and data regarding indications for radiation therapy and chemotherapy are reviewed. As up to 50% of patients with soft tissue sarcoma will develop recurrent disease, surgical management of locally recurrent and distant metastatic disease is discussed.
尽管绝大多数软组织肢体肿块是良性的，但 2019 年在美国仍有约 13000 人被诊断患有软组织肉瘤。本文重点介绍了软组织肿块的最佳检查方法，包括超声和 MRI 的适应证，以及术前芯针活检的应用。还回顾了当前 AJCC 分期、软组织肉瘤管理的手术原则以及关于放疗和化疗适应证的数据。由于多达 50%的软组织肉瘤患者会出现疾病复发，因此还讨论了局部复发性和远处转移性疾病的手术治疗。
